Individual
MO SE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6930 BEACH BLVD UNIT L141, BUENA PARK, CA 90621-6856
(714) 872-2291
Mailing address
6060 N PARAMOUNT BLVD, LONG BEACH, CA 90805-3711
(562) 630-8672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
16606
CA
101YM0800X
Mental Health Counselor
5840
CA
101YP2500X
Professional Counselor
Primary
16606
CA
Other
Enumeration date
02/14/2023
Last updated
04/29/2025
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