Provider Demographics
NPI:1669348058
Name:FINKLE, KELSEY (PPS)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:FINKLE
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:
Other - Last Name:RAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PPS
Mailing Address - Street 1:200 PATE DR
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-2517
Mailing Address - Country:US
Mailing Address - Phone:949-325-6850
Mailing Address - Fax:
Practice Address - Street 1:200 PATE DR
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-2517
Practice Address - Country:US
Practice Address - Phone:949-325-6850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool