person
Ms. Kimberly Michonne Clark-holloway
Addiction (Substance Use Disorder) Counselor in Hawthorne, California
NPI 1952827628

Kimberly Michonne Clark-holloway is an Addiction (Substance Use Disorder) Counselor based in Hawthorne, CA and is specialized in Addiction (Substance Use Disorder). Kimberly Michonne Clark-holloway practices in Hawthorne, CA. The NPI Number for Kimberly Michonne Clark-holloway is 1952827628 and holds a License No. R1891014 (California).

The current practice location address for Kimberly Michonne Clark-holloway is 12917 Cerise Ave, Hawthorne, CA and can be reached out via phone at 310-675-4431 and via fax at 310-675-4434.

Location: 12917 Cerise Ave, Hawthorne, CA, 90250
person
Provider Profile Details
NPI Number
1952827628
Provider Name
Kimberly Michonne Clark-holloway
Credential
Provider Entity Type
Individual
Gender
Female
Address
12917 Cerise Ave, Hawthorne, CA, 90250
Phone Number
310-675-4431
Fax Number
310-675-4434
Provider Enumeration Date
08/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12917 Cerise Ave
City
State
Zip
90250-5520
Phone Number
310-675-4431
Fax Number
310-675-4434
person
Provider Business Mailing Address Details
Address
12917 Cerise Ave
City
State
Zip
90250-5520
Phone Number
310-675-4431
Fax Number
310-675-4434
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1891014 (California)
Definition
Definition to come...
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