Provider Demographics
NPI:1841903200
Name:HOVIS, KRIS S (LMFT)
Entity type:Individual
Prefix:
First Name:KRIS
Middle Name:S
Last Name:HOVIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:
Other - Last Name:HOVIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 703
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:CA
Mailing Address - Zip Code:94978-0703
Mailing Address - Country:US
Mailing Address - Phone:707-925-3511
Mailing Address - Fax:
Practice Address - Street 1:45 SAN CLEMENTE DR # A-200B
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1244
Practice Address - Country:US
Practice Address - Phone:707-925-3511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA147769106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist