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General NPI Number Information
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NPI Number | 1972030203
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Entity Type | Organization
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Legal Business Name | KATHLEEN C FENN MARRIAGE AND FAMILY THERAPY INC.
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 5555 BUSINESS PARK S STE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1678
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Country | US
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Telephone | 661-599-5593
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Fax | 661-325-2031
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Provider Business Mailing Address
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Address Line | 15320 FOLSOM LAKE CT
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City | BAKERSFIELD
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State | CA
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Zip | 93314-5237
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Country | US
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Telephone |
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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 | KATHLEEN C FENN
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Credential | LMFT
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Telephone | 760-702-2133
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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 | 93378
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License Number State | CA
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