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Provider Information for 1528396256


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Mrs. KIMBERLY L BROWNRIDGE MA, LPC, NCC


Sex: Female

NPI: 1528396256
Last Updated: 2009-11-18
Certification Date:

Details

NameValue
NPI1528396256
Enumeration Date2009-11-18
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 8361 ORCHARD AVE
SAINT LOUIS, MO 63132-2819
United States

Phone: 314-496-4369 | Fax:916-560-6623
 
Primary Practice Address 8361 ORCHARD AVE
SAINT LOUIS, MO 63132-2819
United States

Phone: 314-496-4369 | Fax:916-560-6623
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalMO2008009368