Dr. Kimberly Fern Balsam, Ph.D.
Counselor, Mental Health in Seattle, WA. Individual provider (NPI-1).
NPI number1982808309
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982808309
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kimberly Fern Balsam
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LH0008433 | WA | Yes |
Practice location
818 12th AveSeattle, WA 98122-4410
Phone 206-329-5255
Mailing address
6537 23rd Ave NeSeattle, WA 98115-7031
Phone 206-459-1860
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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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