Provider Demographics
NPI:1790079879
Name:KIRKLAND, KIMBERLY CHRISTINE (MFT)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:CHRISTINE
Last Name:KIRKLAND
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 HOPYARD RD STE O
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-5254
Mailing Address - Country:US
Mailing Address - Phone:925-513-3128
Mailing Address - Fax:
Practice Address - Street 1:3015 HOPYARD RD STE O
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-5254
Practice Address - Country:US
Practice Address - Phone:925-513-3128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 37599106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist