Doctor Name: | KIM STEELE |
NPI Number: | 1124349576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | IMF 62692 |
Business Practice Address: | 120 W Chestnut Ave Lompoc, CA - 934365913 |
Business Phone Number: | 8057404555 |
Business Fax Number: | 8057404558 |
Mailing Address: | 120 W Chestnut Ave, LOMPOC |
State: | CA |
Postal Code: | 934365913 |
Phone Number: | 8057404555 |
Fax Number: | 8057404558 |
NPI Enumeration Date: | 06/21/2010 |
NPI Last Update Date: | 06/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | IMF 62692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |