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

Kimberly Douglass

Individual provider Counselor · NPI 1962924340

Kimberly Douglass is a Counselor in Fairfield, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
4

Practice location Address checks out

2101 Courage Drive MS 10-300
Fairfield, CA 94533
Phone: (707) 784-2033
Fax: (707) 425-4014
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Case Manager/Care Coordinator Taxonomy 171M00000X (CA)

Record details

NPI number1962924340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2017
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address2101 Courage Dr # Ms 10-300, Fairfield, CA 94533-6717

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