Individual
MRS. ADRIENNE KWAPIEN KIJAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
219 N INDIAN HILL BLVD, SUITE 202A, CLAREMONT, CA 91711-4644
(818) 468-9198
(818) 468-9198
Mailing address
846 W 10TH ST, CLAREMONT, CA 91711-3616
(818) 468-9198
(213) 341-5036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ART THERAPIST: 05640
IL
104100000X
Social Worker
149-00-5134
IL
104100000X
Social Worker
Primary
24579
CA
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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