Individual provider · Type 1 NPI

Kimberly Vermillion Fogarty, JD, MA, BC-TMH

Marriage & Family Therapist · Laguna Beach, CA

NPI number 1003380049 Active

Practice location

580 Broadway St Ste 208
Laguna Beach, CA 92651-4311

Call (949) 424-9755 Map

Fax (949) 488-0344

Mailing address

8 Pacifico
Laguna Niguel, CA 92677-4242

Other practice locations

  • 33 W 60th St Fl 8, New York, NY 10023-7953 · (516) 847-5432

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X1600014 (OH)
Marriage & Family Therapist Primary 106H00000X89459 (CA)

Marriage & Family Therapist: 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 supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1003380049

Kimberly Vermillion Fogarty, JD, MA, BC-TMH's National Provider Identifier is 1003380049, issued on Jan 13, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Laguna Beach, CA. The record was last updated on Jan 13, 2019.