| Doctor Name: | MRS. KIMBERLY FRANCES VADNER |
| NPI Number: | 1700054871 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BA, CADC |
| License Number: | 6460 |
| Business Practice Address: | 108 John St North Aurora, IL - 605421600 |
| Business Phone Number: | 6308011669 |
| Business Fax Number: | 6308011675 |
| Mailing Address: | 108 John St, NORTH AURORA |
| State: | IL |
| Postal Code: | 605421600 |
| Phone Number: | 6308011669 |
| Fax Number: | 6308011675 |
| NPI Enumeration Date: | 02/12/2008 |
| NPI Last Update Date: | 02/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 6460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |