Search › Virginia › 1041C0700X
Kimberly Lindblad, LCSW
NPI 1760693766 · on the registry since 2007
Practice
- Address
- 230 S Crater Rd
Petersburg, VA 23803 - Phone
- (804) 733-2180
- Fax
- (804) 733-8502
- Organisation at this address
- Community Counseling Group
Specialized Youth Services Of Va, Inc
Specialized Youth Services Of Va, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia