Provider Demographics
NPI:1801660972
Name:KIM, ESTHER (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:KIM
Suffix:
Gender:
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 MIDDLESEX AVE # 1116
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145-1105
Mailing Address - Country:US
Mailing Address - Phone:617-702-2159
Mailing Address - Fax:
Practice Address - Street 1:165 MIDDLESEX AVE # 1116
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02145-1105
Practice Address - Country:US
Practice Address - Phone:617-702-2159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC5000782101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health