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Kimberly Shadean Wedderburn, CTRS
Counselor in San Francisco, California
NPI 1417501347

Kimberly Shadean Wedderburn is a Counselor based in Stockton, CA. Kimberly Shadean Wedderburn practices in San Francisco, CA and has the professional credentials of CTRS. The NPI Number for Kimberly Shadean Wedderburn is 1417501347 and holds a License No. 67715 (California).

The current practice location address for Kimberly Shadean Wedderburn is 2200 Hayes St Fl 3, San Francisco, CA and can be reached out via phone at 415-750-5649. You can also correspond with Kimberly Shadean Wedderburn through the mailing address at 4418 CONTINENTAL WAY, STOCKTON, CA - 95207-8930 (mailing address contact number: 305-834-8948).

Location: 2200 Hayes St Fl 3, San Francisco, CA, 95207-8930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417501347
Provider Name
Kimberly Shadean Wedderburn
Credential
CTRS
Provider Entity Type
Individual
Gender
Female
Address
2200 Hayes St Fl 3, San Francisco, CA, 95207-8930
Phone Number
415-750-5649
Fax Number
Provider Enumeration Date
07/29/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0000000000 01 NA
institution
Provider Business Practice Location Address Details
Address
2200 Hayes St Fl 3
City
San Francisco
State
California
Zip
94117-1013
Phone Number
415-750-5649
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Hayes St Fl 3
City
San Francisco
State
California
Zip
94117-1013
Phone Number
415-750-5649
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Recreation Therapist
Speciality
-
Taxonomy
225800000X
License No.
67715 (Florida)
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
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