Individual provider · Type 1 NPI

Wonha Kim

Mental Health Counselor · Oakland, CA

NPI number 1104619592 Active

Practice location

3800 Coolidge Ave
Oakland, CA 94602-3311

Mailing address

2171 Talladega Ct
Sparks, NV 89436-8704

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XAPCC19740 (CA)

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About NPI 1104619592

Wonha Kim's National Provider Identifier is 1104619592, issued on May 28, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Jun 28, 2025.