Provider Demographics
NPI:1326213208
Name:TORNBERG, KIMBERLY ANN (LMHC, LCMHC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:ANN
Last Name:TORNBERG
Suffix:
Gender:F
Credentials:LMHC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 PLEASANT VALLEY ST.
Mailing Address - Street 2:BUILDING1, SUITE 206
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5817
Mailing Address - Country:US
Mailing Address - Phone:978-934-9444
Mailing Address - Fax:
Practice Address - Street 1:184 PLEASANT VALLEY ST.
Practice Address - Street 2:BUILDING1, SUITE 206
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5817
Practice Address - Country:US
Practice Address - Phone:978-934-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2904101YM0800X
MA7936101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health