Provider Demographics
NPI:1033303441
Name:PIER, KIMBALL CONVERSE (PHD, LMFT)
Entity type:Individual
Prefix:MS
First Name:KIMBALL
Middle Name:CONVERSE
Last Name:PIER
Suffix:
Gender:F
Credentials:PHD, LMFT
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 5
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-0005
Mailing Address - Country:US
Mailing Address - Phone:530-536-8695
Mailing Address - Fax:
Practice Address - Street 1:2854 JACKIE CIR
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-8942
Practice Address - Country:US
Practice Address - Phone:530-536-8695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3055-R106H00000X
CAMFC 44285106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist