Individual provider · Type 1 NPI

Kelly Kiyomi Pong-Der, LMFT

Marriage & Family Therapist · San Francisco, CA

NPI number 1295333904 Active

Practice location

3638 Lawton St
San Francisco, CA 94122-3008

Call (415) 879-8215 Map

Mailing address

PO Box 210766
San Francisco, CA 94121-0766

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLMFT119595 (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 1295333904

Kelly Kiyomi Pong-Der, LMFT's National Provider Identifier is 1295333904, issued on Oct 14, 2020. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Francisco, CA. The record was last updated on Jan 7, 2021.