Individual
KIMBERLY HUDNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 D ST STE R&S, MARYSVILLE, CA 95901-5952
(153) 032-9400
Mailing address
621 B ST APT 3, MARYSVILLE, CA 95901-5535
(530) 844-0742
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/30/2023
Last updated
06/06/2024
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