Individual provider · Type 1 NPI
Raven Lea Kim, LMHC, RN
Mental Health Counselor · Manasquan, NJ
NPI number
1902368442
Active
Practice location
200 Atlantic Ave Ste K
Manasquan, NJ 08736-1352
Fax (732) 292-0399
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37PC00634800 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1902368442
Raven Lea Kim, LMHC, RN's National Provider Identifier is 1902368442, issued on Apr 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manasquan, NJ. The record was last updated on Apr 3, 2019.