Kimberly Vermillion Fogarty, JD, MA, BC-TMH
NPI #1003380049 in Laguna Beach, California
Provider Information
- NPI Number
- 1003380049
- Entity Type
- Individual
- Name
- Kimberly Vermillion Fogarty, JD, MA, BC-TMH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- JD, MA, BC-TMH
- Enumeration Date
- Jan 13, 2019
- Last Updated
- Jan 13, 2019
Practice Location
- Address
- 580 BROADWAY ST STE 208
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92651-4311
- Phone
- (949) 424-9755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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