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Mrs. Kimberly Dirks Panganiban, LMFT
Marriage & Family Therapist in San Diego, California
NPI 1154483816

Kimberly Dirks Panganiban is a Marriage & Family Therapist based in San Diego, CA. Kimberly Dirks Panganiban practices in San Diego, CA and has the professional credentials of LMFT. The NPI Number for Kimberly Dirks Panganiban is 1154483816 and holds a License No. (California).

The current practice location address for Kimberly Dirks Panganiban is 16935 W Bernardo Dr, San Diego, CA and can be reached out via phone at 858-361-6016 and via fax at 858-451-0333.

Location: 16935 W Bernardo Dr, San Diego, CA, 92127-1634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154483816
Provider Name
Kimberly Dirks Panganiban
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
16935 W Bernardo Dr, San Diego, CA, 92127-1634
Phone Number
858-361-6016
Fax Number
858-451-0333
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9613 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
16935 W Bernardo Dr
City
San Diego
State
California
Zip
92127-1634
Phone Number
858-361-6016
Fax Number
858-451-0333
person
Provider Business Mailing Address Details
Address
16935 W Bernardo Dr
City
San Diego
State
California
Zip
92127-1634
Phone Number
858-361-6016
Fax Number
858-451-0333
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
54218 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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