| Doctor Name: | KIMBERLY S DOHLE |
| NPI Number: | 1023253465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCS20206 |
| Business Practice Address: | 515 Cornwall Ave Arroyo Grande, CA - 934202645 |
| Business Phone Number: | 8054898955 |
| Business Fax Number: | |
| Mailing Address: | 2178 Johnson Ave, SAN LUIS OBISPO |
| State: | CA |
| Postal Code: | 93401 |
| Phone Number: | 8057882928 |
| Fax Number: | 8057811272 |
| NPI Enumeration Date: | 12/15/2008 |
| NPI Last Update Date: | 01/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS20206 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |