Individual provider · Type 1 NPI

Kim I. Mack, MFT

Marriage & Family Therapist · Richmond, CA

NPI number 1699896795 Active

Practice location

712 Kern St
Richmond, CA 94805-1547

Call (510) 215-9665 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC 22328 (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 1699896795

Kim I. Mack, MFT's National Provider Identifier is 1699896795, issued on Apr 3, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Richmond, CA. The record was last updated on Jul 8, 2007.