Individual provider · Type 1 NPI

Kimberly Shadean Wedderburn, CTRS

Counselor · San Francisco, CA

NPI number 1417501347 Active

Practice location

2200 Hayes St Fl 3
San Francisco, CA 94117-1013

Call (415) 750-5649 Map

Mailing address

4418 Continental Way
Stockton, CA 95207-8930

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist 225800000X67715 (FL)
Counselor Primary 101Y00000XNone listed

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 1417501347

Kimberly Shadean Wedderburn, CTRS's National Provider Identifier is 1417501347, issued on Jul 29, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Francisco, CA. The record was last updated on Aug 7, 2019.