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Ms. Kimberly Sue Vance, MASTEROFEDUCATION
Mental Health Counselor in Mishawaka, Indiana
NPI 1538230123

Kimberly Sue Vance is a Mental Health Counselor based in Mishawaka, IN and is specialized in Mental Health. Kimberly Sue Vance practices in Mishawaka, IN and has the professional credentials of MASTEROFEDUCATION. The NPI Number for Kimberly Sue Vance is 1538230123 and holds a License No. 39001136A (Indiana).

The current practice location address for Kimberly Sue Vance is 113 Lincoln Way East, Mishawaka, IN and can be reached out via phone at 574-255-4976 and via fax at 574-255-1882. You can also correspond with Kimberly Sue Vance through the mailing address at 113 LINCOLN WAY EAST, MISHAWAKA, IN - 46544-2016 (mailing address contact number: 574-255-4976).

Location: 113 Lincoln Way East, Mishawaka, IN, 46544-2016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538230123
Provider Name
Kimberly Sue Vance
Credential
MASTEROFEDUCATION
Provider Entity Type
Individual
Gender
Female
Address
113 Lincoln Way East, Mishawaka, IN, 46544-2016
Phone Number
574-255-4976
Fax Number
574-255-1882
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000341223 01 IN ANTHEM
7381710 01 IN AETNA
institution
Provider Business Practice Location Address Details
Address
113 Lincoln Way East
City
Mishawaka
State
Indiana
Zip
46544-2016
Phone Number
574-255-4976
Fax Number
574-255-1882
person
Provider Business Mailing Address Details
Address
113 Lincoln Way East
City
Mishawaka
State
Indiana
Zip
46544-2016
Phone Number
574-255-4976
Fax Number
574-255-1882
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
39001136A (Indiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39001136A (Indiana)
Definition
Definition to come...
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