Provider Demographics
NPI:1346469988
Name:MCGARVEY, KIMBERLY M (MFC, LPCC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:M
Last Name:MCGARVEY
Suffix:
Gender:F
Credentials:MFC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 VAN NESS AVE # 1302
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3621
Mailing Address - Country:US
Mailing Address - Phone:650-425-3078
Mailing Address - Fax:
Practice Address - Street 1:822 E ROCKY RD
Practice Address - Street 2:
Practice Address - City:KANAB
Practice Address - State:UT
Practice Address - Zip Code:84741-3832
Practice Address - Country:US
Practice Address - Phone:650-690-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA48470106H00000X
CAMFC48470106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist