Individual provider · Type 1 NPI
Kimberley Ackley Ix
Addiction (Substance Use Disorder) Counselor · San Francisco, CA
NPI number
1245624014
Active
Practice location
1101 Capp Street
San Francisco, CA 94110
Fax (415) 821-1426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 26-3520704 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1245624014
Kimberley Ackley Ix's National Provider Identifier is 1245624014, issued on Mar 19, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on Mar 19, 2015.