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Individual

MRS. KYMBERLY ELAINE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APCC

Contact information

Practice address
221 W CREST ST STE 201, ESCONDIDO, CA 92025-1736
(760) 747-3424
Mailing address
221 W CREST ST STE 201, ESCONDIDO, CA 92025-1736
(760) 747-3424

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
11580
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
11580
CA
101YP2500X
Professional Counselor
Primary
11580
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134513861
TN DL
TN
Enumeration date
08/27/2019
Last updated
04/30/2024
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