Individual
KIMBERLY SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D INTERN
Contact information
Practice address
698 VISTA LN, LAGUNA BEACH, CA 92651-1902
(949) 500-0566
Mailing address
698 VISTA LN, LAGUNA BEACH, CA 92651-1902
(949) 500-0566
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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