Kim I Mack in Richmond - Marriage & Family Therapist
Kim I Mack - NPI 1699896795
Kim I Mack is a Marriage & Family Therapist in Richmond, California. Kim I Mack practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kim I Mack is 1699896795. The last update date is 2007-07-08.
Kim I Mack's current location address is 712 Kern St, Richmond, California. You can contact this provider via phone number 5102159665. The mailing address for Kim I Mack is 712 Kern St, Richmond, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim I Mack |
|---|---|
| Address | 712 Kern St, Richmond, California |
| Phone Number | 5102159665 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1699896795 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 712 Kern St |
|---|---|
| City | Richmond |
| State | California (CA) |
| Post Code | 948051547 |
| Phone Number | 5102159665 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 22328 |
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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 10-digit identifier code assigned to Kim I Mack by the Centers for Medicare & Medicaid Services?
The Kim I Mack has been issued the NPI (National Provider Identifier) 1699896795 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kim I Mack?
The Kim I Mack is situated at 712 Kern St, in the city of Richmond, state of CA, with the zip code 948051547.
What is the Kim I Mack's area of specialization and corresponding taxonomy classification?
The Kim I Mack's specialty field is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their specialties.
When did Kim I Mack receive its 1699896795 assignment?
The Kim I Mack was assigned its 1699896795 on 2007-04-03, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kim I Mack most recently updated or revised?
The details related to Kim I Mack, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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