MEDICARE: MS. KIMBALL CONVERSE PIER PH.D., LMFT

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
1	106H00000X	Marriage & Family Therapist	3055-R	NV
2	106H00000X	Marriage & Family Therapist	MFC 44285	CA

General Provider Information

NPI Number	:	1033303441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIMBALL CONVERSE PIER PH.D., LMFT

Provider Business Mailing Address
First Line	:	PO BOX 5
Second Line	:
City	:	MINDEN
State	:	NV
Zip	:	89423-0005
Country	:	US
Telephone Number	:	530-536-8695
Fax Number	:

Provider Business Practice Location Address
First Line	:	2854 JACKIE CIR
Second Line	:
City	:	MINDEN
State	:	NV
Zip	:	89423-8942
Country	:	US
Telephone Number	:	530-536-8695
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	11/08/2024

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