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

Kimberly Sue Vance is a Mental Health Counselor based in South Bend, IN and is specialized in Mental Health. Kimberly Sue Vance practices in South Bend, 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 17195 Cleveland Rd, South Bend, IN and can be reached out via phone at 574-277-0274 and via fax at 574-271-7202.

Location: 17195 Cleveland Rd, South Bend, IN, 46635-1415
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
17195 Cleveland Rd, South Bend, IN, 46635-1415
Phone Number
574-277-0274
Fax Number
574-271-7202
Provider Enumeration Date
11/13/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000341223 01 IN ANTHEM
7381710 01 IN AETNA
200475040 05 IN
793356000 01 IN MAGELLAN
institution
Provider Business Practice Location Address Details
Address
17195 Cleveland Rd
City
South Bend
State
Indiana
Zip
46635-1415
Phone Number
574-277-0274
Fax Number
574-271-7202
person
Provider Business Mailing Address Details
Address
17195 Cleveland Rd
City
South Bend
State
Indiana
Zip
46635-1415
Phone Number
574-277-0274
Fax Number
574-271-7202
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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