Individual
MS. ELIZABETH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 SE LAKE RD, MILWAUKIE, OR 97267-2115
(503) 238-0769
Mailing address
1100 CORPORATE CENTER DR, MONTEREY PARK, CA 91754-7632
(323) 768-2760
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/21/2009
Last updated
02/25/2026
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