Kim, Amanda

Kim, Amanda is an individual health care provider with primary practice located at 1560 Brookhollow Dr Ste 212 , Santa Ana CA 92705-5411. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kim, Amanda can be contacted via phone (714) 386-9171.

Contact Information

Primary practice address
1560 Brookhollow Dr Ste 212 Santa Ana CA 92705-5411
Phone: (714) 386-9171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 33503 California
Behavioral Health & Social Service Providers / Family 103TF0000X 33503 California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 33503 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 33503 California

Profile Details

NPI number 1689050809
LBN Legal business name Kim, Amanda
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Sep 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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