Madison Kimbrell, MSW QMHP

NPI #1003434291 in Vienna, Illinois

Provider Information

NPI Number: 1003434291
Entity Type: Individual
Name: Madison Kimbrell, MSW QMHP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MSW QMHP
Enumeration Date: Jul 14, 2020
Last Updated: Jul 14, 2020

Practice Location

Address: 101 OLIVER ST
City: Vienna
State: Illinois
ZIP Code: 62995-1660
Phone: (618) 658-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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