Individual provider · Type 1 NPI

Jennifer Kim

Mental Health Counselor · San Luis Obispo, CA

NPI number 1366906869 Active

Practice location

1255 Kendall Rd
San Luis Obispo, CA 93401-8750

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1366906869

Jennifer Kim's National Provider Identifier is 1366906869, issued on Jan 29, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 29, 2019.