Provider Demographics
NPI:1760647234
Name:KULMA, THIA JOLIE (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:THIA
Middle Name:JOLIE
Last Name:KULMA
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:THIA
Other - Middle Name:JOLIE
Other - Last Name:SPEZIALY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:25201 AVE TIBBITTS # 101
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3433
Mailing Address - Country:US
Mailing Address - Phone:818-726-1749
Mailing Address - Fax:
Practice Address - Street 1:25201 AVE TIBBITTS # 101
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355
Practice Address - Country:US
Practice Address - Phone:818-726-1749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT45386106H00000X
LMFT45386106H00000X
CAMFC45386106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist