Most Relevant Information
Provider Data
| NPI Number: | 1003457664 |
| Provider Name: | KIMBERLY CHANES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 116757 |
Most Important Dates
| Enumeration Date: | 10/04/2019 |
| Last Updated: | 12/14/2023 |
Provider Practice Location
661 ROBERTS LN STE A
BAKERSFIELD
CA
933084723
Practice Location Phone/Fax
| Phone: | 6613713360 |
| Fax: |
Provider Mailing Location
661 ROBERTS LN STE A
BAKERSFIELD
CA
933084723
Provider Mailing Phone/Fax
| Phone: | 6613713360 |
| Fax: |