Till, Kim C.

Till, Kim C. is an sole proprietor health care provider with primary practice located at 5 Mareblu , Aliso Viejo CA 92656-3014. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Till, Kim C. can be contacted via phone (949) 643-6900.

Contact Information

Primary practice address
5 Mareblu Aliso Viejo CA 92656-3014
Phone: (949) 643-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 27713 California

Profile Details

NPI number 1558455295
LBN Legal business name Till, Kim C.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Nov 19th, 2019 - about 5 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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