Individual
MISS JESSICA K KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
200 W MERCER ST # E305, SEATTLE, WA 98119-3995
(206) 589-1018
Mailing address
21081 S WESTERN AVE STE 295, TORRANCE, CA 90501-1707
(310) 533-6600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY61320770
WA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/04/2014
Last updated
03/14/2024
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