Provider Demographics
NPI:1477024933
Name:FEE, KIMBERLY JOAN (MS, LPC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:JOAN
Last Name:FEE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1488 LANEY WALKER BLVD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0003
Mailing Address - Country:US
Mailing Address - Phone:706-737-1471
Mailing Address - Fax:
Practice Address - Street 1:1488 LANEY WALKER BLVD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0003
Practice Address - Country:US
Practice Address - Phone:706-737-1471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8063101YP2500X, 101YP2500X
GALPC013943101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional