Doctor Name: | KIMBERLY LYNN ARBUCKLE |
NPI Number: | 1003096702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,L.M.H.C. |
License Number: | LH60227238 |
Business Practice Address: | 20 N Tacoma Ave Ste B Tacoma, WA - 984033133 |
Business Phone Number: | 2536913945 |
Business Fax Number: | |
Mailing Address: | 20 N Tacoma Ave Ste B, TACOMA |
State: | WA |
Postal Code: | 984033133 |
Phone Number: | 2536913945 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2007 |
NPI Last Update Date: | 01/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH60227238 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |