Provider Demographics
NPI:1588804025
Name:REUTER, KIMBERLY ANN (MA, LPC NCC CPCS)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANN
Last Name:REUTER
Suffix:
Gender:F
Credentials:MA, LPC NCC CPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 ASHLEY PARK DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5940
Mailing Address - Country:US
Mailing Address - Phone:480-652-5659
Mailing Address - Fax:
Practice Address - Street 1:2240 ASHLEY PARK DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5940
Practice Address - Country:US
Practice Address - Phone:480-652-5659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005982101YP2500X
AZLPC19229101YP2500X
TXLPC91180101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional