Macdonald, Penny Sue Kimball

Macdonald, Penny Sue Kimball is an individual health care provider with primary practice located at 1129 Main St , St Johnsbury VT 05819. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Macdonald, Penny Sue Kimball can be contacted via phone (802) 748-8904.

Contact Information

Primary practice address
1129 Main St St Johnsbury VT 05819
Phone: (802) 748-8904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000130 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000603 Vermont

Profile Details

NPI number 1356487284
LBN Legal business name Macdonald, Penny Sue Kimball
Credentials MS LADC LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 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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