Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Lynn Clicquennoi, LCMHC

Individual provider Mental Health Counselor · NPI 1457515157

Kimberly Lynn Clicquennoi, LCMHC is a Mental Health Counselor in Roxboro, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2008

Practice location Address checks out

355 S Madison Blvd Ste C2
Roxboro, NC 27573-5485
Phone: (336) 597-2065
Fax: (336) 597-2116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7108 (NC)

Record details

NPI number1457515157
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedJuly 11, 2008
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

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