Provider Demographics
NPI:1114252913
Name:NEMZER, KRISTIN LOVE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:LOVE
Last Name:NEMZER
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:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:HAWI
Mailing Address - State:HI
Mailing Address - Zip Code:96719-0278
Mailing Address - Country:US
Mailing Address - Phone:831-345-1500
Mailing Address - Fax:
Practice Address - Street 1:56-3006 PUAKEA BAY DR, 278
Practice Address - Street 2:
Practice Address - City:HAWI
Practice Address - State:HI
Practice Address - Zip Code:96719
Practice Address - Country:US
Practice Address - Phone:808-640-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42308106H00000X
HIMFT480106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist