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Ms. Kimberly Dawn Green, MS,LPC
Mental Health Counselor in Corsicana, Texas
NPI 1861611691

Kimberly Dawn Green is a Mental Health Counselor based in Corsicana, TX and is specialized in Mental Health. Kimberly Dawn Green practices in Corsicana, TX and has the professional credentials of MS,LPC. The NPI Number for Kimberly Dawn Green is 1861611691 and holds a License No. 18293 (Texas).

The current practice location address for Kimberly Dawn Green is 100 N Main St, Corsicana, TX and can be reached out via phone at 903-875-8104 and via fax at 903-872-7558.

Location: 100 N Main St, Corsicana, TX, 75110-5215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861611691
Provider Name
Kimberly Dawn Green
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
100 N Main St, Corsicana, TX, 75110-5215
Phone Number
903-875-8104
Fax Number
903-872-7558
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
158803001 05 TX
institution
Provider Business Practice Location Address Details
Address
100 N Main St
City
Corsicana
State
Texas
Zip
75110-5215
Phone Number
903-875-8104
Fax Number
903-872-7558
person
Provider Business Mailing Address Details
Address
100 N Main St
City
Corsicana
State
Texas
Zip
75110-5215
Phone Number
903-875-8104
Fax Number
903-872-7558
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
18293 (Texas)
Definition
Definition to come...
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