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Individual

KAITLIN KIMMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
755 BAYWOOD DR FL 2, PETALUMA, CA 94954-5510
(415) 483-9195
(415) 480-8340
Mailing address
755 BAYWOOD DR FL 2, PETALUMA, CA 94954-5510

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC17791
CA

Other

Enumeration date
11/04/2021
Last updated
10/14/2025
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