Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Lavonne Self, CADC-1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1487123873

Kimberly Lavonne Self, CADC-1 is an Addiction (Substance Use Disorder) Counselor in Santa Ana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
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Practice location Address checks out

1207 E Fruit St
Santa Ana, CA 92701-4206
Phone: (714) 953-9373
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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 C059050818 (CA)

Record details

NPI number1487123873
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC-1
Sole proprietorYes
NPI enumeratedNovember 15, 2018
Last updated in NPPESNovember 15, 2018

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