Provider Demographics
NPI:1184164642
Name:VEITH, KIMBERLY E (MS, LPC, CAADC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:E
Last Name:VEITH
Suffix:
Gender:F
Credentials:MS, LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 MAIN ST W
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:PA
Mailing Address - Zip Code:16417-1616
Mailing Address - Country:US
Mailing Address - Phone:814-580-8699
Mailing Address - Fax:
Practice Address - Street 1:244 MAIN ST W
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:PA
Practice Address - Zip Code:16417-1616
Practice Address - Country:US
Practice Address - Phone:814-580-8699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9866101YA0400X
PAPC009354101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)