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NPI Code Detail

MEDICARE: MS. KIMBERLY MARIE THURMAN LMFT

MEDICARE: MS. KIMBERLY MARIE THURMAN 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
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family Therapist88082CA
3106H00000XMarriage & Family Therapist111787CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1111787OTHERCABOARD OF BEHAVIORAL SCIENCES-LMFT

General Provider Information

NPI Number : 1457693103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY MARIE THURMAN LMFT
Provider Business Mailing Address
First Line : 3275 CHEROKEE AVE
Second Line :
City : MERCED
State : CA
Zip : 95340-1520
Country : US
Telephone Number : 559-790-5828
Fax Number :
Provider Business Practice Location Address
First Line : 2513 YOUNGSTOWN RD
Second Line :
City : TURLOCK
State : CA
Zip : 95380-9707
Country : US
Telephone Number : 209-667-0327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2013
Last Update Date : 12/16/2022

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