Whalio Doctors

NPI 1013219229

Kimberly Quezada, MSLMFT

Practitioner Marriage & Family Therapist San Bernardino, CA

Practice location

Address
460 S Stoddard Ave STE 1, San Bernardino, CA 92401-2039
Phone
(909) 882-7978
Mailing address
PO Box 4737, Crestline, CA 92325-4737

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 99748 (CA)

Registry record

NPI
1013219229
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Nov 2010
Record last updated
16 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.