Jeannie S Kim

NPI #1164691226 in La Mirada, California

Provider Information

NPI Number: 1164691226
Entity Type: Individual
Name: Jeannie S Kim
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 22, 2008
Last Updated: Feb 22, 2008

Practice Location

Address: 13510 MEGANWOOD PL
City: La Mirada
State: California
ZIP Code: 90638-6524
Phone: (562) 943-1616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Social Worker	104100000X

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