Provider Demographics
NPI:1053472555
Name:AIANI, KERI REYNE (MA, MFT)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:REYNE
Last Name:AIANI
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:REYNE
Other - Last Name:HUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:3075 ADELINE ST STE 210
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2578
Mailing Address - Country:US
Mailing Address - Phone:707-712-8151
Mailing Address - Fax:510-848-4445
Practice Address - Street 1:3075 ADELINE ST STE 210
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2578
Practice Address - Country:US
Practice Address - Phone:707-712-8151
Practice Address - Fax:707-685-9682
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 48051106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist