Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly Kiyomi Pong-Der, LMFT

Individual provider Marriage & Family Therapist · NPI 1295333904

Mrs. Kelly Kiyomi Pong-Der, LMFT is a Marriage & Family Therapist in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

3638 Lawton St
San Francisco, CA 94122-3008
Phone: (415) 879-8215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT119595 (CA)

Record details

NPI number1295333904
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedOctober 14, 2020
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021

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