Individual provider · Type 1 NPI

Kelly Kim

Counselor · El Segundo, CA

NPI number 1154987790 Active

Practice location

329 Eucalyptus Dr Apt C
El Segundo, CA 90245-4252

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XR1335190119 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1154987790

Kelly Kim's National Provider Identifier is 1154987790, issued on May 18, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in El Segundo, CA. The record was last updated on May 18, 2019.