Kimura, Jeanne Diane

Kimura, Jeanne Diane is an individual health care provider with primary practice located at 370 Avocado St Apt 7 , Costa Mesa CA 92627-1671. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kimura, Jeanne Diane can be contacted via phone (714) 469-6700.

Contact Information

Primary practice address
370 Avocado St Apt 7 Costa Mesa CA 92627-1671
Phone: (714) 469-6700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY33292 California

Profile Details

NPI number 1205139268
LBN Legal business name Kimura, Jeanne Diane
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2010
Last updated Jun 6th, 2022 - about 3 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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