Kennita Wingfield-Colem in San Bernardino - Marriage & Family Therapist
Kennita Wingfield-Colem - NPI 1164612214
Kennita Wingfield-Colem is a Marriage & Family Therapist in San Bernardino, California. Kennita Wingfield-Colem practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kennita Wingfield-Colem is 1164612214. The last update date is 2007-07-25.
Kennita Wingfield-Colem's current location address is 820 E Gilbert St, San Bernardino, California. You can contact this provider via phone number 9093877200. The mailing address for Kennita Wingfield-Colem is 820 E Gilbert St, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kennita Wingfield-Colem |
|---|---|
| Address | 820 E Gilbert St, San Bernardino, California |
| Phone Number | 9093877200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1164612214 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2007-07-25 |
Provider Mailing Address Detail
| Address | 820 E Gilbert St |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924150928 |
| Phone Number | 9093877200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 49360 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique provider identifier assigned to Kennita Wingfield-Colem?
The Kennita Wingfield-Colem has been issued the NPI (National Provider Identifier) 1164612214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kennita Wingfield-Colem?
The Kennita Wingfield-Colem is situated at 820 E Gilbert St, in the city of San Bernardino, state of CA, with the zip code 924150928.
What is the Kennita Wingfield-Colem's specialty and taxonomy code?
The Kennita Wingfield-Colem's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Kennita Wingfield-Colem receive the assignment of its 1164612214 from the Centers for Medicare & Medicaid Services?
The Kennita Wingfield-Colem was issued its 1164612214 by the Centers for Medicare & Medicaid Services on 2007-07-25.
As of what date were the details pertaining to Kennita Wingfield-Colem last refreshed?
The information related to the Kennita Wingfield-Colem, including its address, specialty, and other relevant details, was last updated on 2007-07-25.