Kibben, Roxanne

Kibben, Roxanne is an sole proprietor health care provider with primary practice located at 1695 Edgemont St , Maplewood MN 55117-2416. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kibben, Roxanne can be contacted via phone (443) 822-6747.

Contact Information

Primary practice address
1695 Edgemont St Maplewood MN 55117-2416
Phone: (443) 822-6747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300773 Minnesota

Profile Details

NPI number 1174095483
LBN Legal business name Kibben, Roxanne
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2018
Last updated Dec 27th, 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 1174095483 NPPES
Minnesota Other 300773 LICENSED ALCOHOL DRUG COUNSELOR

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