Provider Demographics
NPI:1831308402
Name:KOHLENBERGER, NANCIE (LMFT)
Entity type:Individual
Prefix:MS
First Name:NANCIE
Middle Name:
Last Name:KOHLENBERGER
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:MS
Other - First Name:NANCIE
Other - Middle Name:
Other - Last Name:CHEPPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:22901 CAMINITO FLORES
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1109
Mailing Address - Country:US
Mailing Address - Phone:949-922-8548
Mailing Address - Fax:888-722-4292
Practice Address - Street 1:22901 CAMINITO FLORES
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1109
Practice Address - Country:US
Practice Address - Phone:949-922-8548
Practice Address - Fax:888-722-4292
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT39360106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist