Individual provider · Type 1 NPI

Katharina Kienboeck, M.A.

Mental Health Counselor · San Rafael, CA

NPI number 1508151085 Active

Practice location

900 5th Ave, Suite 150
San Rafael, CA 94901-2959

Mailing address

52 Balma Ln
Petaluma, CA 94952-9621

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X000653 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1508151085

Katharina Kienboeck, M.A.'s National Provider Identifier is 1508151085, issued on Jun 13, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jun 13, 2011.