Individual provider · Type 1 NPI

Kimberly Anne Van Genderen

Mental Health Counselor · Rancho Cucamonga, CA

NPI number 1669601118 Active

Practice location

9500 Etiwanda Ave
Rancho Cucamonga, CA 91739-9662

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669601118

Kimberly Anne Van Genderen's National Provider Identifier is 1669601118, issued on Jul 6, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jul 6, 2009.