Individual
BETTY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 E THELBORN ST, WEST COVINA, CA 91791-1442
(818) 206-0360
Mailing address
970 S KINGSLEY DR APT 202, LOS ANGELES, CA 90006-6227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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