Huckfeldt-Mundt, Kimberly Dawn
Huckfeldt-Mundt, Kimberly Dawn is an individual health care provider with primary practice located at 2802 W C St , Torrington WY 82240-1834. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Huckfeldt-Mundt, Kimberly Dawn can be contacted via phone (307) 532-0134.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CO60179545 | Washington |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MC60164858 | Washington |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-1587 | Wyoming |
Profile Details
NPI number | 1104182336 |
---|---|
LBN Legal business name | Huckfeldt-Mundt, Kimberly Dawn |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 2nd, 2012 |
Last updated | Oct 29th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104182336 | NPPES |
Wyoming | MEDICAID | 136831100 |
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