Fogarty, Kimberly Vermillion

Fogarty, Kimberly Vermillion is an sole proprietor health care provider with primary practice located at 580 Broadway St Ste 208 , Laguna Beach CA 92651-4311. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Fogarty, Kimberly Vermillion can be contacted via phone (949) 424-9755.

Contact Information

Primary practice address
580 Broadway St Ste 208 Laguna Beach CA 92651-4311
Phone: (949) 424-9755
Fax: (949) 488-0344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1600014 Ohio
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 89459 California

Profile Details

NPI number 1003380049
LBN Legal business name Fogarty, Kimberly Vermillion
Credentials JD, MA, BC-TMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2019
Last updated Jan 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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