Individual
DR. KIMBERLY NICOLE JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
(408) 975-2730
Mailing address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
(408) 975-2730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
PSB94024136
CA
103T00000X
Psychologist
Primary
PSY33131
CA
Other
Enumeration date
07/14/2011
Last updated
06/13/2023
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