Healthcare Provider Details

I. General information

NPI: 1609762582
Provider Name (Legal Business Name): KIMBERLY HOJ PPS SCHOOL COUNSELOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MARICOPA HWY
OJAI CA
93023-3132
US

IV. Provider business mailing address

1401 MARICOPA HWY
OJAI CA
93023-3132
US

V. Phone/Fax

Practice location:
  • Phone: 805-640-4343
  • Fax:
Mailing address:
  • Phone: 805-640-4343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number220235000
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: