Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY FOTHERGILL
ActiveKIMBERLY FOTHERGILL is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MAPLE GROVE, Minnesota. NPI 1124533369 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1124533369
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2017 (8.6382905972237 yrs)
- Last Updated
- Oct 22, 2018
Practice Information
- Address
-
13603 80TH CIR NMAPLE GROVE, MN, 553698961Browse MN providers · Browse ZIP 55369
- Phone
- 7632743120
- Fax
- 7632743121
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. SHEANNE SCHERBER | LADC | 1346590627 |
| DANIEL KNUDSON | LADC | 1033546445 |
| MR. DAVID LARSON | LADC | 1912329301 |
| BRITTA JESSICA SVIHEL | LPC, LADC | 1952787491 |
| NICHOLE MARIE MARTINEK | LADC | 1467997023 |
| JASON MARTIN SAMUDIO | — | 1215494158 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.