Healthcare Provider Details

I. General information

NPI: 1124801923
Provider Name (Legal Business Name): KENDRA TWENTER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 03/21/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 DIVISADERO ST
SAN FRANCISCO CA
94115-2113
US

IV. Provider business mailing address

821 IRVING ST UNIT 225216
SAN FRANCISCO CA
94122-2391
US

V. Phone/Fax

Practice location:
  • Phone: 415-658-5563
  • Fax:
Mailing address:
  • Phone: 415-658-5563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14391
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162213
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: