Kim, Charlene

Kim, Charlene is an individual health care provider with primary practice located at 1300 N 12Th St Ste 605 , Phoenix AZ 85006-2850. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Health is her primary health care specialty. Kim, Charlene can be contacted via phone (602) 839-4567.

Contact Information

Primary practice address
1300 N 12Th St Ste 605 Phoenix AZ 85006-2850
Phone: (602) 839-4567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY-005095 Arizona
Behavioral Health & Social Service Providers / Health 103TH0004X PSY-005095 Arizona

Profile Details

NPI number 1356988539
LBN Legal business name Kim, Charlene
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2019
Last updated Aug 18th, 2022 - 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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