Individual
KIMBERLY ANN CROXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
Mailing address
6938 S HOOVER ST, LOS ANGELES, CA 90044-5226
(323) 572-7196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1485671022
CA
175T00000X
Peer Specialist
Primary
MPSS-VJUITE
CA
Other
Enumeration date
12/28/2022
Last updated
04/12/2024
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