Dr. Kim Marie Conradson, PhD, LMHC
Counselor, Mental Health in Pensacola, FL. Individual provider (NPI-1).
NPI number1467572958
StatusActive
Last updated in NPPESApr 23, 2015
Details
- NPI
- 1467572958
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kim Marie Conradson
- Credential
- PhD, LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2007
- Last updated
- Apr 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 2781 | AL | Yes |
| 101YM0800X | Counselor, Mental Health | 8509 | FL |
Practice location
1120 N Palafox StPensacola, FL 32501-2608
Phone 850-434-5033
Mailing address
1120 N Palafox StPensacola, FL 32501-2608
Phone 850-434-5033
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