Coville, Kimberly Jo

Coville, Kimberly Jo is an sole proprietor health care provider with primary practice located at 15 Mellen St , Portland ME 04101-2109. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Coville, Kimberly Jo can be contacted via phone (207) 772-6111.

Contact Information

Primary practice address
15 Mellen St Portland ME 04101-2109
Phone: (207) 772-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC6057 Maine

Profile Details

NPI number 1538298393
LBN Legal business name Coville, Kimberly Jo
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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