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NPI Code Detail

MEDICARE: MELISSA LYNN KENNEY MFT

MEDICARE: MELISSA LYNN KENNEY 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 Therapist60860CA
2106H00000XMarriage & Family Therapist82027CA
3106H00000XMarriage & Family TherapistLMFT-16023AZ

General Provider Information

NPI Number : 1730419318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA LYNN KENNEY MFT
Provider Business Mailing Address
First Line : 27401 LOS ALTOS STE 120
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-8580
Country : US
Telephone Number : 949-347-6771
Fax Number :
Provider Business Practice Location Address
First Line : 27401 LOS ALTOS STE 120
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-8580
Country : US
Telephone Number : 949-347-6771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2010
Last Update Date : 01/23/2026

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Directions to “ MELISSA LYNN KENNEY MFT” Practice Location

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