Kimberly Lynn Ridall-Villagomez
School Counselor
771 Brownlee Rd
Jackson
, Georgia 30233-2413
Kimberly Lynn Ridall-Villagomez
School Counselor
771 Brownlee Rd
Jackson
, Georgia 30233-2413
(910) 920-7357
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About
Features
Specialties
- School Counselor
Languages spoken
- English
Location
First Address
- Kimberly Lynn Ridall-Villagomez
- 771 Brownlee Rd
- Jackson, GA
- Zip : 30233-2413
- Phone : (910) 920-7357
Second Address
- Kimberly Lynn Ridall-Villagomez
- 771 Brownlee Rd
- Jackson, GA
- Zip : 30233-2413
- Phone : (910) 920-7357
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YS0200X | School Counselor | GA |
National Provider Identifier
| NPI | 1043986748 |
|---|---|
| Provider Name | Kimberly Lynn Ridall-Villagomez |
| First Address | Jackson, GA 30233-2413 |
| Second Address | Jackson, GA 30233-2413 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2021 |
| Last Update Date | 22/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.