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

Primary practice address
2802 W C St Torrington WY 82240-1834
Fax:
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104182336 NPPES
Wyoming MEDICAID 136831100

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