Individual provider · Type 1 NPI
Kim Irene McClaskey
Addiction (Substance Use Disorder) Counselor · Newport Beach, CA
NPI number
1114697190
Active
Practice location
20051 SW Birch St
Newport Beach, CA 92660-1719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114697190
Kim Irene McClaskey's National Provider Identifier is 1114697190, issued on Sep 20, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newport Beach, CA. The record was last updated on Sep 20, 2021.