Provider Demographics
NPI:1760477855
Name:BEBEAU, KIMBERLY B (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:B
Last Name:BEBEAU
Suffix:
Gender:F
Credentials:LPC
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Mailing Address - Street 1:1045 MAIN STREET, SUITE 5
Mailing Address - Street 2:COUNSELING AND PSYCHOLOGICAL SERVICES, LLC
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-1800
Mailing Address - Country:US
Mailing Address - Phone:434-792-2277
Mailing Address - Fax:434-792-2279
Practice Address - Street 1:245 HAIRSTON ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-4137
Practice Address - Country:US
Practice Address - Phone:434-799-0456
Practice Address - Fax:434-793-4201
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0701003052101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional