Provider Information for 1891992806
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Mrs. KHEA S GUMBS M.A. LMFT
Sex: Female
NPI: 1891992806
Last Updated: 2024-09-26
Certification Date: 2024-09-26
Certification Date: 2024-09-26
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1891992806 | ||||||||
| Enumeration Date | 2007-07-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 800325 SANTA CLARITA, CA 91380-0325 United States Phone: 209-607-1018 | Fax:510-479-1180 | ||||||||
| Primary Practice Address | PO BOX 800325 SANTA CLARITA, CA 91380-0325 United States Phone: 209-607-1018 | Fax:510-479-1180 | ||||||||
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