Somin Kim
Marriage & Family Therapist in Burbank, CA. Individual provider (NPI-1).
NPI number1164026753
StatusActive
Last updated in NPPESFeb 26, 2024
Details
- NPI
- 1164026753
- Entity type
- Individual (NPI-1)
- Name
- Somin Kim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2020
- Certification date
- Feb 26, 2024
- Last updated
- Feb 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 144902 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | 122919 | CA |
Practice location
1201 S Victory Blvd Ste 206Burbank, CA 91502-2552
Phone 818-639-3003
Mailing address
543 N Sierra Bonita AveLos Angeles, CA 90036-2406
Phone 323-504-4925
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