Kimberly Anne Wollgren O'Neill, LPC
Counselor, Mental Health in Winston Salem, NC. Individual provider (NPI-1).
NPI number1083801724
StatusActive
Last updated in NPPESOct 5, 2023
Details
- NPI
- 1083801724
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Anne Wollgren O'Neill
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2007
- Certification date
- Oct 5, 2023
- Last updated
- Oct 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 6701 | NC | Yes |
Practice location
1350 Whitaker Ridge DrWinston Salem, NC 27106-4966
Phone 336-718-8000 · Fax 336-718-8011
Mailing address
2106 Ardsley St.Winston Salem, NC 27103
Phone 607-857-3914
Other practice locations
213 Lindsay St
High Point, NC 27262-4868
High Point, NC 27262-4868
Phone 336-885-0602
175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951
Winston Salem, NC 27103-6951
Phone 336-718-3550
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