Provider Demographics
NPI:1487199691
Name:WICKREMASINGHE-KUHN, DHARSHINI NIMALEE (MA, APCC)
Entity Type:Individual
Prefix:
First Name:DHARSHINI
Middle Name:NIMALEE
Last Name:WICKREMASINGHE-KUHN
Suffix:
Gender:F
Credentials:MA, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 186
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92247
Mailing Address - Country:US
Mailing Address - Phone:818-571-5947
Mailing Address - Fax:
Practice Address - Street 1:2001 WILSHIRE BLVD.
Practice Address - Street 2:SUITE 505
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403
Practice Address - Country:US
Practice Address - Phone:310-893-3255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-23
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health