Individual
JASON LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1000 23RD AVE STE 1169, PORT HUENEME, CA 93043-4300
(805) 982-5037
Mailing address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
107521
CA
Other
Enumeration date
02/01/2017
Last updated
04/06/2026
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