Provider Demographics
NPI:1215138136
Name:COHN, KIMBERLY (LMFT, RDT-BCT)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:
Last Name:COHN
Suffix:
Gender:F
Credentials:LMFT, RDT-BCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7793
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-0793
Mailing Address - Country:US
Mailing Address - Phone:510-206-1466
Mailing Address - Fax:
Practice Address - Street 1:1005 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1148
Practice Address - Country:US
Practice Address - Phone:510-902-9627
Practice Address - Fax:510-957-5474
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46208106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist