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MS. KIMBERLY MICHONNE CLARK-HOLLOWAY
NPI 1952827628
Counselor - Addiction (Substance Use Disorder) in Hawthorne, CA

Active since August 15, 2017
12917 CERISE AVE, HAWTHORNE, CA 90250(310) 675-4431(310) 675-4434 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 15, 2017 (2 updates tracked since 2017).

About Ms. Kimberly Michonne Clark-holloway NPPES

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

MS. KIMBERLY MICHONNE CLARK-HOLLOWAY (NPI 1952827628) is an individual addiction (substance use disorder) provider in Hawthorne, California, licensed in California (R1891014) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1952827628
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. KIMBERLY MICHONNE CLARK-HOLLOWAY
Location Address12917 CERISE AVEHawthorne, CA 90250-5520
Mailing Address12917 CeriseHawthorne, CA 90250 · (310) 675-4431 · Fax (310) 675-4434
Phone(310) 675-4431
Fax(310) 675-4434
Sole ProprietorYes
Enumeration DateAugust 15, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1952827628 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 · R1891014
12917 CERISE AVE, Hawthorne, CA 90250
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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.

AVA VICTORIA GONZALEZ
Counselor (Addiction (Substance Use Disorder))
12917 CERISE AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 675-4431
JAMILAH MCDOWELL
Counselor (Addiction (Substance Use Disorder))
12917 CERISE AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 675-4431
JESSICA NICOLE DURON-BELL
Health Educator
12917 CERISE AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 675-4431
MIKEAH GARDNER
Licensed Vocational Nurse
12917 CERISE AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 675-4431
DANIELLE MONIQUE WEST
Student in an Organized Health Care Education/Training Program
12917 CERISE AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 675-4431
TRAVESTINE LENETTE CASEY
Counselor
12917 CERISE AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 675-4431
ANGELA DENISE BIVENS
Counselor (Addiction (Substance Use Disorder))
12917 CERISE AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 675-4431
MONICA LORENE CODY MA, CADC-II
Counselor (Addiction (Substance Use Disorder))
12917 CERISE AVE
HAWTHORNE, CA 90250
Los Angeles County (310) 675-4431

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 Clark-holloway's NPI number?

The NPI number for Kimberly Clark-holloway is 1952827628. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Where is Kimberly Clark-holloway located?

Kimberly Clark-holloway practices at 12917 Cerise Ave, Hawthorne, CA 90250. The listed phone number is (310) 675-4431.

What is Kimberly Clark-holloway'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 Clark-holloway was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.