Individual ProviderKim GundersonMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4811 Eureka Ave Ste G3, Yorba Linda, CA 92886-3312(714) 309-1604PECOS EnrollmentBased on the most recent information from CMS, provider Kim Gunderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:37 AM.Profile DetailsProvider ID1790536753Provider TypeIndividualFull NameGunderson, KimCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date3/28/2024Last Updated3/28/2024Contact InformationPractice LocationPractice Address4811 Eureka Ave Ste G3, Yorba Linda, CA 92886-3312Phone(714) 309-1604FaxUnlisted FaxMailing LocationMailing AddressPO Box 583, Yorba Linda, CA 92885-0583Phone(714) 309-1604FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC49439California