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

MS. Kimberly Michonne Clark-Holloway

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1952827628

MS. Kimberly Michonne Clark-Holloway is an Addiction (Substance Use Disorder) Counselor in Hawthorne, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

12917 Cerise Ave
Hawthorne, CA 90250-5520
Phone: (310) 675-4431
Fax: (310) 675-4434
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1891014 (CA)

Record details

NPI number1952827628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 15, 2017
Last updated in NPPESJuly 21, 2022

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