Individual
AMY H KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2152 LEMOYNE ST, LOS ANGELES, CA 90026-1950
(323) 397-4950
Mailing address
2152 LEMOYNE ST, LOS ANGELES, CA 90026-1950
(323) 397-4950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW22413
CA
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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