Provider Demographics
NPI:1902691793
Name:AIRING, KIMBERLY J (LGPC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:J
Last Name:AIRING
Suffix:
Gender:
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 OTTERDALE MILL RD
Mailing Address - Street 2:
Mailing Address - City:TANEYTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21787-3038
Mailing Address - Country:US
Mailing Address - Phone:717-398-9938
Mailing Address - Fax:
Practice Address - Street 1:15 E MAIN ST STE 114
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5066
Practice Address - Country:US
Practice Address - Phone:443-377-1865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP16388101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor