Individual provider · Type 1 NPI

April Marie Kiecolt, MFT-TRAINEE

Student in an Organized Health Care Education/Training Program · Moreno Valley, CA

NPI number 1902093487 Active

Practice location

12730 Heacock St
Moreno Valley, CA 92553-3040

Call (951) 488-9084 Map

Fax (951) 485-8266

Mailing address

PO Box 1167
Moreno Valley, CA 92556-1167

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902093487

April Marie Kiecolt, MFT-TRAINEE's National Provider Identifier is 1902093487, issued on Sep 28, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moreno Valley, CA. The record was last updated on Sep 28, 2007.