Provider Demographics
NPI:1366673402
Name:KIM, CHRISTIAN YOONJIN (LMFT, M-RAS)
Entity type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:YOONJIN
Last Name:KIM
Suffix:
Gender:M
Credentials:LMFT, M-RAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:473 CABRILLO ST # B422
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93944-3201
Mailing Address - Country:US
Mailing Address - Phone:831-242-4889
Mailing Address - Fax:630-570-6076
Practice Address - Street 1:473 CABRILLO ST # B422
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93944-3201
Practice Address - Country:US
Practice Address - Phone:831-242-4889
Practice Address - Fax:630-570-6076
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT46316106H00000X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist