Individual provider · Type 1 NPI

Kimberly Michonne Clark-Holloway

Addiction (Substance Use Disorder) Counselor · Hawthorne, CA

NPI number 1952827628 Active

Practice location

12917 Cerise Ave
Hawthorne, CA 90250-5520

Call (310) 675-4431 Map

Fax (310) 675-4434

Mailing address

12917 Cerise
Hawthorne, CA 90250

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1891014 (CA)

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

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About NPI 1952827628

Kimberly Michonne Clark-Holloway's National Provider Identifier is 1952827628, issued on Aug 15, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hawthorne, CA. The record was last updated on Jul 21, 2022.