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NPI Code Detail

MEDICARE: JENNIFER KENNEDY MFT

MEDICARE:   JENNIFER  KENNEDY  MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist99688CA

General Provider Information

NPI Number : 1275062168
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KENNEDY MFT
Provider Business Mailing Address
First Line : 1515 STATE ST STE 7
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-2536
Country : US
Telephone Number : 805-364-2688
Fax Number :
Provider Business Practice Location Address
First Line : 1515 STATE ST STE 7
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-2536
Country : US
Telephone Number : 805-364-2688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2017
Last Update Date : 03/24/2026

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Directions to “ JENNIFER KENNEDY MFT” Practice Location

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