Provider Demographics
NPI:1912326224
Name:SERNA, KIMBER L (LMFT)
Entity Type:Individual
Prefix:
First Name:KIMBER
Middle Name:L
Last Name:SERNA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KIMBER
Other - Middle Name:LEIGH
Other - Last Name:SERNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA IMF
Mailing Address - Street 1:1726 TEHAMA ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1615
Mailing Address - Country:US
Mailing Address - Phone:530-710-8971
Mailing Address - Fax:
Practice Address - Street 1:1726 TEHAMA ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1615
Practice Address - Country:US
Practice Address - Phone:530-710-8971
Practice Address - Fax:530-364-8505
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2021-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77420106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist