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NPI 1477405009

NPI 1477405009 : KERRY ALLAN MARRIAGE AND FAMILY THERAPY, INC. : SANTA CRUZ, CA

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General NPI Number Information
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    NPI Number           |    1477405009
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    Entity Type          |    Organization 
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    Legal Business Name  |    KERRY ALLAN MARRIAGE AND FAMILY THERAPY, INC. 
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Dates
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    Enumeration Date     |    02/14/2026
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    Last Update Date     |    02/14/2026
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Provider Practice Location Address
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    Address Line         |    777 CHESTNUT ST 
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    City                 |    SANTA CRUZ
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    State                |    CA
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    Zip                  |    95060-3751
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    Country              |    US
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    Telephone            |    831-222-5836
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    Fax                  |    619-985-4757
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Provider Business Mailing Address
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    Address Line         |    108 MONTESANO ST APT A 
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    City                 |    SANTA CRUZ
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    State                |    CA
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    Zip                  |    95062-2616
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    Country              |    US
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    Telephone            |    619-985-4757
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MARRIAGE AND FAMILY THERAPIST
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    Name                 |    MRS. KERRY RUTH ALLAN 
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    Credential           |    LMFT
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    Telephone            |    619-985-4757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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