Randall, Kimberly

Randall, Kimberly is an individual health care provider with primary practice located at 2055 Kellogg Ave. , Corona CA 92879-5942. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Randall, Kimberly can be contacted via phone (951) 353-2000.

Contact Information

Primary practice address
2055 Kellogg Ave. Corona CA 92879-5942
Phone: (951) 353-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 85337 California

Profile Details

NPI number 1508059106
LBN Legal business name Randall, Kimberly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2007
Last updated Dec 21st, 2021 - 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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