Compton, Kimberly Doris

Compton, Kimberly Doris is an individual health care provider with primary practice located at 10225 Trio Ln , Saint Louis MO 63137. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Compton, Kimberly Doris can be contacted via phone (314) 322-7749.

Contact Information

Primary practice address
10225 Trio Ln Saint Louis MO 63137
Phone: (314) 322-7749
Fax: (314) 371-6500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2015026842 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 2015026842 Missouri

Profile Details

NPI number 1386020071
LBN Legal business name Compton, Kimberly Doris
Credentials MA, LPC, NCC, MAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2015
Last updated Aug 9th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386020071 NPPES
Missouri MEDICAID 490036302

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