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KIMBERLY LAVONNE SELF CADC-1
NPI 1487123873
Counselor - Addiction (Substance Use Disorder) in Santa Ana, CA

Active since November 15, 2018
1207 E FRUIT ST, SANTA ANA, CA 92701(714) 953-9373 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kimberly Lavonne Self Cadc-1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY LAVONNE SELF CADC-1 (NPI 1487123873) is an individual addiction (substance use disorder) provider in Santa Ana, California, licensed in California (C059050818) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1487123873
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKIMBERLY LAVONNE SELFCredential: CADC-1
Location Address1207 E FRUIT STSanta Ana, CA 92701-4206
Mailing Address441 S Vicki LnAnaheim, CA 92804-2075 · (714) 450-0352
Phone(714) 953-9373
Sole ProprietorYes
Enumeration DateNovember 15, 2018
✔ NPI 1487123873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · C059050818
1207 E FRUIT ST, Santa Ana, CA 92701
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Other Identifiers 1

Medicaid0000CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARITA MOREIRA
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
GARY DAIJI HAZAMA
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
MADISON PARR
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (949) 396-4566
NOAH WANGAI
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
ANH QUE HUYNH
Licensed Vocational Nurse
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
CRYSTAL SCHONVIESNER
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
SIERA NOELLE GOODRICH
Student in an Organized Health Care Education/Training Program
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
AIDE MERITO-PINA,
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Self's NPI number?

The NPI number for Kimberly Self is 1487123873. It was assigned to this individual provider in the NPPES registry on November 15, 2018.

Where is Kimberly Self located?

Kimberly Self practices at 1207 E Fruit St, Santa Ana, CA 92701. The listed phone number is (714) 953-9373.

What is Kimberly Self's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kimberly Self was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.