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Kimithy Roselles
Peer Specialist in Stockton, California
NPI 1184386930

Kimithy Roselles is a Peer Specialist based in Stockton, CA. Kimithy Roselles practices in Stockton, CA. The NPI Number for Kimithy Roselles is 1184386930 and holds a License No. (California).

The current practice location address for Kimithy Roselles is 4545 Georgetown Pl Ste D, Stockton, CA and can be reached out via phone at 209-269-5587.

Location: 4545 Georgetown Pl Ste D, Stockton, CA, 95207-6229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184386930
Provider Name
Kimithy Roselles
Credential
Provider Entity Type
Individual
Gender
Female
Address
4545 Georgetown Pl Ste D, Stockton, CA, 95207-6229
Phone Number
209-269-5587
Fax Number
Provider Enumeration Date
10/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4545 Georgetown Pl Ste D
City
Stockton
State
California
Zip
95207-6229
Phone Number
209-269-5587
Fax Number
person
Provider Business Mailing Address Details
Address
4545 Georgetown Pl Ste D
City
Stockton
State
California
Zip
95207-6229
Phone Number
209-269-5587
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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