Kibbee, Carol H

Kibbee, Carol H is an sole proprietor health care provider with primary practice located at 3103 Clearwater Dr Suite B, Prescott AZ 86305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Kibbee, Carol H can be contacted via phone (928) 717-2505.

Contact Information

Primary practice address
3103 Clearwater Dr Suite B Prescott AZ 86305
Phone: (928) 717-2505
Fax: (928) 717-2504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 12139 Arizona
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC12139 Arizona

Profile Details

NPI number 1629057617
LBN Legal business name Kibbee, Carol H
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated Jul 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629057617 NPPES
Arizona MEDICAID 980939

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