Kimmel, Justina
Kimmel, Justina is an sole proprietor health care provider with primary practice located at 717 South Blvd Ste 9 , Baraboo WI 53913-3139. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kimmel, Justina can be contacted via phone (608) 630-1519.Contact Information
Primary practice address
717 South Blvd Ste 9
Baraboo WI 53913-3139
Phone: (608) 630-1519
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 129537-121 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8801 | Wisconsin |
Profile Details
| NPI number | 1679959654 |
|---|---|
| LBN Legal business name | Kimmel, Justina |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2015 |
| Last updated | May 27th, 2021 - about 5 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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