Provider Demographics
NPI:1356471502
Name:LOKEN, KIMBERLEY E (LCSW)
Entity Type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:E
Last Name:LOKEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19906 STONE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-5653
Mailing Address - Country:US
Mailing Address - Phone:281-380-3687
Mailing Address - Fax:281-255-3063
Practice Address - Street 1:19906 STONE LAKE DR
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-5653
Practice Address - Country:US
Practice Address - Phone:281-380-3687
Practice Address - Fax:281-255-3063
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX373861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical