Individual provider · Type 1 NPI

Kimberly Ganivet

Mental Health Counselor · Rancho Cucamonga, CA

NPI number 1760279558 Active

Practice location

9065 Haven Ave Ste 110
Rancho Cucamonga, CA 91730-5429

Call (909) 757-5770 Map

Mailing address

325 S San Dimas Canyon Rd Apt 66
San Dimas, CA 91773-3057

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X148310 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1760279558

Kimberly Ganivet's National Provider Identifier is 1760279558, issued on Apr 23, 2025. 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 Apr 23, 2025.