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Dr. Kimberly Ann Wildes, DrPH, MA, LPC-I

Counselor, Professional in Houston, TX. Individual provider (NPI-1).

NPI number1154645877
StatusActive
Last updated in NPPESMar 24, 2010

Details

NPI
1154645877
Entity type
Individual (NPI-1)
Name
Dr. Kimberly Ann Wildes
Credential
DrPH, MA, LPC-I
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 24, 2010
Last updated
Mar 24, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional64208TXYes

Practice location

1458 Campbell Rd
Ste 250a
Houston, TX 77055-4669

Phone 281-896-1194

Mailing address

1458 Campbell Rd
Ste 250a
Houston, TX 77055-4669

Phone 281-896-1194

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