Healthcare Provider Details

I. General information

NPI: 1497464747
Provider Name (Legal Business Name): KENDALL ELIZABETH LARSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 DE LA VINA ST
SANTA BARBARA CA
93101-3114
US

IV. Provider business mailing address

PO BOX 551
SANTA BARBARA CA
93102-0551
US

V. Phone/Fax

Practice location:
  • Phone: 805-569-2785
  • Fax:
Mailing address:
  • Phone: 805-569-2785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC22439
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: