person
Ms. Kimberly W Modisette, LPC
Professional Counselor in Victoria, Texas
NPI 1841528114

Kimberly W Modisette is a Professional Counselor based in Victoria, TX and is specialized in Professional. Kimberly W Modisette practices in Victoria, TX and has the professional credentials of LPC. The NPI Number for Kimberly W Modisette is 1841528114 and holds a License No. 65881 (Texas).

The current practice location address for Kimberly W Modisette is 120 David Wade Drive, Victoria, TX and can be reached out via phone at 361-575-8271 and via fax at 361-575-6520.

Location: 120 David Wade Drive, Victoria, TX, 77902-2666
person
Provider Profile Details
NPI Number
1841528114
Provider Name
Kimberly W Modisette
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
120 David Wade Drive, Victoria, TX, 77902-2666
Phone Number
361-575-8271
Fax Number
361-575-6520
Provider Enumeration Date
11/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207574901 05 TX
65881 05 TX
institution
Provider Business Practice Location Address Details
Address
120 David Wade Drive
City
State
Zip
77905
Phone Number
361-575-8271
Fax Number
361-575-6520
person
Provider Business Mailing Address Details
Address
120 David Wade Drive
City
State
Zip
77905
Phone Number
361-575-8271
Fax Number
361-575-6520
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
65881 (Texas)
Definition
Definition to come...
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