Provider Demographics
NPI:1295613685
Name:KIMBERLY BURTON, INC.
Entity type:Organization
Organization Name:KIMBERLY BURTON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:AHN
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:209-406-2538
Mailing Address - Street 1:2905 SEBASTAN LN
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95212-2845
Mailing Address - Country:US
Mailing Address - Phone:209-471-1259
Mailing Address - Fax:
Practice Address - Street 1:4750 QUAIL LAKES DR STE C5
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-6471
Practice Address - Country:US
Practice Address - Phone:209-406-2538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty