Provider Demographics
NPI:1518709211
Name:MUREHEAD, KIMBERLY A (ACLC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:A
Last Name:MUREHEAD
Suffix:
Gender:F
Credentials:ACLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 WISCONSIN AVE APT 16
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-2156
Mailing Address - Country:US
Mailing Address - Phone:406-300-9546
Mailing Address - Fax:
Practice Address - Street 1:1645 US HIGHWAY 93 S STE D
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-5776
Practice Address - Country:US
Practice Address - Phone:406-314-6565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)