Wormuth, Kimberly

Wormuth, Kimberly is an individual health care provider with primary practice located at 245 Hairston St , Danville VA 24540-4137. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wormuth, Kimberly can be contacted via phone (434) 793-4931.

Contact Information

Primary practice address
245 Hairston St Danville VA 24540-4137
Phone: (434) 793-4931
Fax: (434) 799-3100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003094 Virginia

Profile Details

NPI number 1417917758
LBN Legal business name Wormuth, Kimberly
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 1st, 2010 - about 16 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 1417917758 NPPES
Virginia MEDICAID 004945085

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