Individual provider · Type 1 NPI

Kimberly Lavonne Self, CADC-1

Addiction (Substance Use Disorder) Counselor · Santa Ana, CA

NPI number 1487123873 Active

Practice location

1207 E Fruit St
Santa Ana, CA 92701-4206

Call (714) 953-9373 Map

Mailing address

441 S Vicki Ln
Anaheim, CA 92804-2075

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC059050818 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1487123873

Kimberly Lavonne Self, CADC-1's National Provider Identifier is 1487123873, issued on Nov 15, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Ana, CA. The record was last updated on Nov 15, 2018.