Provider Demographics
NPI:1942602552
Name:VERONEE, KIMBERLY LYNN (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:LYNN
Last Name:VERONEE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 LEINBACH DR
Mailing Address - Street 2:SUITE D-2
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7071
Mailing Address - Country:US
Mailing Address - Phone:843-501-7001
Mailing Address - Fax:843-501-7542
Practice Address - Street 1:29 LEINBACH DR
Practice Address - Street 2:SUITE D-2
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7071
Practice Address - Country:US
Practice Address - Phone:843-501-7001
Practice Address - Fax:843-501-7542
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5701101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional