Doctor Name: | CHRISTINE C. KIMBALL |
NPI Number: | 1447215595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC6208 |
Business Practice Address: | 79 Schooner St Damariscotta, ME - 045434051 |
Business Phone Number: | 2072944657 |
Business Fax Number: | 2072944649 |
Mailing Address: | Box 118, WHITEFIELD |
State: | ME |
Postal Code: | 04353 |
Phone Number: | 2075495622 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC6208 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |