Individual
CHARLES KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7950 NW 53RD ST STE 337, MIAMI, FL 33166-4791
(786) 763-0006
Mailing address
PO BOX 660065, MIAMI SPRINGS, FL 33266-0065
(202) 222-5369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH21072
FL
Other
Enumeration date
02/22/2023
Last updated
10/12/2024
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