Healthcare Provider Details

I. General information

NPI: 1073451597
Provider Name (Legal Business Name): KENNEDY MARRIAGE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 STATE ST STE 7
SANTA BARBARA CA
93101-2536
US

IV. Provider business mailing address

1515 STATE ST STE 7
SANTA BARBARA CA
93101-2536
US

V. Phone/Fax

Practice location:
  • Phone: 805-699-6834
  • Fax:
Mailing address:
  • Phone: 805-699-6834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. JENNIFER LYNN KENNEDY
Title or Position: OWNER
Credential: LMFT
Phone: 805-364-2688