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
Health care specialties
Specialty | Code | License # | 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 18 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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