Healthcare Provider Details

I. General information

NPI: 1063257574
Provider Name (Legal Business Name): KAROLYN HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 YOLANDA AVE
NORTHRIDGE CA
91324-2256
US

IV. Provider business mailing address

9501 YOLANDA AVE
NORTHRIDGE CA
91324-2256
US

V. Phone/Fax

Practice location:
  • Phone: 310-248-0027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCI5425
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: