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

Kimberly Anne Van Genderen

Individual provider Mental Health Counselor · NPI 1669601118

Kimberly Anne Van Genderen is a Mental Health Counselor in Rancho Cucamonga, California. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

9500 Etiwanda Ave
Rancho Cucamonga, CA 91739-9662
Phone: (909) 463-5206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1669601118
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 6, 2009
Last updated in NPPESJuly 6, 2009

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