Kimberly Bass Fredericks, BS
Counselor in Biloxi, MS. Individual provider (NPI-1).
NPI number1285656348
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285656348
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Bass Fredericks
- Credential
- BS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Other names
- Kimberly Vinet Bass (Other Name)
Practice location
400 Veterans Ave(116b)
Biloxi, MS 39531-2410
Phone 228-523-4241 · Fax 228-523-4675
Mailing address
8118 Georgia AveGulfport, MS 39501-7541
Phone 228-868-1378 · Fax 228-523-4675
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Counselor providers in Biloxi · All 1,856 providers in Biloxi
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