Provider Demographics
NPI:1467209551
Name:KAUFMAN, NERICE LLOYD (MA,MDIV,DMIN,LMFT)
Entity type:Individual
Prefix:DR
First Name:NERICE
Middle Name:LLOYD
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MA,MDIV,DMIN,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6417 ALEXANDRI CIR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-3610
Mailing Address - Country:US
Mailing Address - Phone:760-525-3815
Mailing Address - Fax:
Practice Address - Street 1:6417 ALEXANDRI CIR
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-3610
Practice Address - Country:US
Practice Address - Phone:760-525-3815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30230106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist