WAYNE KIMBALL

GREELEY, CO
NPI1063837300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACB.0007563)
Enumeration Date2014-02-24
Last Update Date2014-02-24
Business Address
-- WAYNE KIMBALL BA, CAC II
1140 M ST
GREELEY, CO 80631-9586
Phone number: 970-353-3900
Mailing Address
-- WAYNE KIMBALL BA, CAC II
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
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