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NPI Code Detail

MEDICARE: KIMBERLY CHRISTOPHERSON

MEDICARE: KIMBERLY CHRISTOPHERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLMFT48768CA

General Provider Information

NPI Number : 1972475622
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY CHRISTOPHERSON
Provider Business Mailing Address
First Line : 114 PACIFIC AVE
Second Line :
City : AUBURN
State : CA
Zip : 95603-5553
Country : US
Telephone Number : 916-730-7349
Fax Number :
Provider Business Practice Location Address
First Line : 3820 AUBURN BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-2124
Country : US
Telephone Number : 916-300-6576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2025
Last Update Date : 09/22/2025

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Directions to “ KIMBERLY CHRISTOPHERSON ” Practice Location

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