Healthcare Provider Details

I. General information

NPI: 1881169050
Provider Name (Legal Business Name): KIMBERLI CHERRY-MAY LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2018
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 HUTTON CENTRE DR STE 400
SANTA ANA CA
92707-8762
US

IV. Provider business mailing address

6 HUTTON CENTRE DR STE 400
SANTA ANA CA
92707-8762
US

V. Phone/Fax

Practice location:
  • Phone: 916-613-5061
  • Fax:
Mailing address:
  • Phone: 916-613-5061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT124431
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: