Individual
KIMBERLY STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8665 GIBBS DR STE 150, SAN DIEGO, CA 92123-1739
(858) 384-6284
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
04/20/2023
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