| Kimberlee Daughtry Lpc Pllc | |
|
4081 Dezavala Rd Suite 101 Shavano Park TX 78249-2082 | |
| (210) 865-2903 | |
| (210) 957-7168 |
| Full Name | Kimberlee Daughtry Lpc Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4081 Dezavala Rd, Shavano Park, Texas |
| Authorized Official Name and Position | Kimberlee Daughtry (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2108652903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberlee Daughtry Lpc Pllc 4081 Dezavala Rd Suite 101 Shavano Park TX 78249-2082 Ph: (210) 865-2903 | Kimberlee Daughtry Lpc Pllc 4081 Dezavala Rd Suite 101 Shavano Park TX 78249-2082 Ph: (210) 865-2903 |
| NPI Number | 1588928048 |
|---|---|
| Provider Enumeration Date | 06/29/2012 |
| Last Update Date | 06/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588928048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 66779 (Texas) | Primary |
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