Provider Demographics
NPI:1891020657
Name:KIEFER, ARIANA M (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ARIANA
Middle Name:M
Last Name:KIEFER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:ARIANA
Other - Middle Name:M
Other - Last Name:FREGOSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2022 CHIVERS ST
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-1008
Mailing Address - Country:US
Mailing Address - Phone:818-730-2027
Mailing Address - Fax:
Practice Address - Street 1:2022 CHIVERS ST
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-1008
Practice Address - Country:US
Practice Address - Phone:424-279-8832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52654106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist