Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberley Ann Coulson, RADTI

Individual provider Peer Specialist · NPI 1649049560

Kimberley Ann Coulson, RADTI is a Peer Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1750 5th Ave
San Diego, CA 92101-2754
Phone: (619) 255-5058
Fax: (619) 269-8349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence RH0013340624 (CA)
Peer Specialist Taxonomy 175T00000X · Licence MPSS-MLEBUO (CA)

Record details

NPI number1649049560
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADTI
Sole proprietorNo
NPI enumeratedDecember 20, 2023
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

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