Provider Demographics
NPI:1265916027
Name:SINGH, KIRAN (LMFT#120119)
Entity type:Individual
Prefix:MRS
First Name:KIRAN
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:LMFT#120119
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4460 BLACK AVE.
Mailing Address - Street 2:SUITE G
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566
Mailing Address - Country:US
Mailing Address - Phone:925-495-1438
Mailing Address - Fax:
Practice Address - Street 1:4460 BLACK AVE STE G
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6139
Practice Address - Country:US
Practice Address - Phone:925-449-1438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-18
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120119101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health