Provider Demographics
NPI:1912914961
Name:WEINTZ, DONALD KIRK (LMFT)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:KIRK
Last Name:WEINTZ
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1124 N CHINOWTH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-7896
Mailing Address - Country:US
Mailing Address - Phone:559-635-4780
Mailing Address - Fax:559-635-4790
Practice Address - Street 1:3424 W PACKWOOD AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-5000
Practice Address - Country:US
Practice Address - Phone:559-635-4780
Practice Address - Fax:559-635-4790
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
CA38188106H00000X
CAMFT38188106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional