Individual
MISS KIMBERLY ANN RAKIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPCC
Contact information
Practice address
PO BOX 91566, SAN DIEGO, CA 92169-3566
(401) 442-6261
Mailing address
PO BOX 91566, SAN DIEGO, CA 92169-3566
(401) 442-6261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHC00852
RI
101YP2500X
Professional Counselor
Primary
8245
CA
Other
Enumeration date
09/25/2013
Last updated
07/26/2024
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