Willard, Kimberly
Willard, Kimberly is an individual health care provider with primary practice located at 11015 Bloomfield Ave , Santa Fe Springs CA 90670-4601. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Willard, Kimberly can be contacted via phone (562) 906-2676.Contact Information
Primary practice address
11015 Bloomfield Ave
Santa Fe Springs CA 90670-4601
Phone: (562) 906-2676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 102501 | California |
Profile Details
| NPI number | 1700239555 |
|---|---|
| LBN Legal business name | Willard, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2016 |
| Last updated | Sep 5th, 2024 - about 2 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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