Most Relevant Information
Provider Data
| NPI Number: | 1003459751 |
| Provider Name: | KYMBERLY WHITENBURG |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | C.1901822-TRNE |
Most Important Dates
| Enumeration Date: | 10/25/2019 |
| Last Updated: | 10/25/2019 |
Provider Practice Location
211 BIEDE AVE
DEFIANCE
OH
435122497
Practice Location Phone/Fax
| Phone: | 4197853800 |
| Fax: |
Provider Mailing Location
211 BIEDE AVE
DEFIANCE
OH
435122497
Provider Mailing Phone/Fax
| Phone: | 4197853800 |
| Fax: |