Individual ProviderSophia KienCounselorBehavioral Health & Social Service ProvidersPractice Address2501 Atlantic Ave, Long Beach, CA 90806-2708(562) 424-6105PECOS EnrollmentBased on the most recent information from CMS, provider Sophia Kien does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1386071371Provider TypeIndividualFull NameKien, SophiaCredentialSUD COUNSELOR/MSWASWGenderFemaleSole ProprietorYesEnumeration Date10/4/2013Last Updated3/23/2023Contact InformationPractice LocationPractice Address2501 Atlantic Ave, Long Beach, CA 90806-2708Phone(562) 424-6105Fax(562) 427-1678Mailing LocationMailing Address2501 Atlantic Ave, Long Beach, CA 90806-2708Phone(562) 424-6105FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseASW80057California