Laurel Anae Kimpton
Addiction Psychologist (Substance Use Disorder)
516 S Pokegama Ave
Grand Rapids
, Minnesota 55744-3820
Laurel Anae Kimpton
Addiction Psychologist (Substance Use Disorder)
516 S Pokegama Ave
Grand Rapids
, Minnesota 55744-3820
(218) 910-5153
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Laurel Anae Kimpton
- 13225 6th Ave S
- Zimmerman, MN
- Zip : 55398-8590
- Phone : (218) 910-5153
Second Address
- Laurel Anae Kimpton
- 516 S Pokegama Ave
- Grand Rapids, MN
- Zip : 55744-3820
- Phone : (218) 293-4789
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 305490 | MN |
National Provider Identifier
| NPI | 1447882832 |
|---|---|
| Provider Name | Laurel Anae Kimpton |
| First Address | Zimmerman, MN 55398-8590 |
| Second Address | Grand Rapids, MN 55744-3820 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/02/2020 |
| Last Update Date | 07/04/2021 |
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.