Provider Demographics
NPI:1073676581
Name:HOARD NASRUL, KIMBERLY J (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:J
Last Name:HOARD NASRUL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 N ALTA AVE
Mailing Address - Street 2:
Mailing Address - City:DINUBA
Mailing Address - State:CA
Mailing Address - Zip Code:93618-3205
Mailing Address - Country:US
Mailing Address - Phone:559-596-0200
Mailing Address - Fax:559-596-0500
Practice Address - Street 1:724 N ALTA AVE
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-3205
Practice Address - Country:US
Practice Address - Phone:559-596-0200
Practice Address - Fax:559-596-0500
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45156106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist