# DR. KIMBERLEY D DOCKERY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710236757
- **Gender:** F
- **Credential:** PH.D., LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 9734 | NE | — |
| 106H00000X | Marriage & Family Therapist | T1550 | OR | Yes |

## Other

- **Enumeration date:** 09/06/2012
- **Last updated:** 03/12/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500705290 | — | OR |