Provider Demographics
NPI:1588486476
Name:HENRY-DURAN, KIERA NOEL (MS)
Entity type:Individual
Prefix:MS
First Name:KIERA
Middle Name:NOEL
Last Name:HENRY-DURAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 HANS AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3182
Mailing Address - Country:US
Mailing Address - Phone:650-526-3480
Mailing Address - Fax:
Practice Address - Street 1:525 HANS AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3182
Practice Address - Country:US
Practice Address - Phone:650-526-3480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240159505101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool