| Doctor Name: | MRS. BILLIE JO KIMMAN |
| NPI Number: | 1548601370 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMFT |
| License Number: | 2585 |
| Business Practice Address: | 112 Kamnic St Pierz, MN - 563644000 |
| Business Phone Number: | 3204686458 |
| Business Fax Number: | |
| Mailing Address: | 1906 5th Ave Se, LITTLE FALLS |
| State: | MN |
| Postal Code: | 563453317 |
| Phone Number: | 3206326647 |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2013 |
| NPI Last Update Date: | 07/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2585 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |