Healthcare Provider Details

I. General information

NPI: 1679065072
Provider Name (Legal Business Name): HILARY DOWD KENNEDY MA, LMFT, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2018
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 161
DAVIS CA
95617-0161
US

IV. Provider business mailing address

PO BOX 161
DAVIS CA
95617-0161
US

V. Phone/Fax

Practice location:
  • Phone: 707-243-8754
  • Fax:
Mailing address:
  • Phone: 707-243-8754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6766
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number127104
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: