Individual
ANDREA KIM KILROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3628 STOCKDALE HWY, BAKERSFIELD, CA 93309
(661) 322-1021
Mailing address
3628 STOCKDALE HWY, BAKERSFIELD, CA 93309-2153
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
AMFT97402
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT126485
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2015
Last updated
06/25/2021
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