| Doctor Name: | MRS. KIMBERLY DAWN WELBORN |
| NPI Number: | 1255428066 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, ED.S, LPC |
| License Number: | 5461 |
| Business Practice Address: | 118 Peace St North Wilkesboro, NC - 286594519 |
| Business Phone Number: | 3366671440 |
| Business Fax Number: | 3366671489 |
| Mailing Address: | 2765 Airport Rd, NORTH WILKESBORO |
| State: | NC |
| Postal Code: | 286599381 |
| Phone Number: | 3366964939 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5461 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |