Holli Rae Kenley in Mountain Center - Marriage & Family Therapist
Holli Rae Kenley - NPI 1073667200
Holli Rae Kenley is a Marriage & Family Therapist in Mountain Center, California. Holli Rae Kenley practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Holli Rae Kenley is 1073667200. The last update date is 2007-07-08.
Holli Rae Kenley's current location address is 35596 Butterfly Peak Rd, Mountain Center, California. You can contact this provider via phone number 7603977978 and fax number 7605640300. The mailing address for Holli Rae Kenley is 35596 Butterfly Peak Rd, Mountain Center, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holli Rae Kenley |
|---|---|
| Address | 35596 Butterfly Peak Rd, Mountain Center, California |
| Phone Number | 7603977978 |
| Fax Number | 7605640300 |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1073667200 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 35596 Butterfly Peak Rd |
|---|---|
| City | Mountain Center |
| State | California (CA) |
| Post Code | 925613067 |
| Phone Number | 7603977978 |
| Fax Number | 7605640300 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC39156 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Holli Rae Kenley by the Centers for Medicare & Medicaid Services (CMS)?
The Holli Rae Kenley has been assigned the NPI (National Provider Identifier) 1073667200. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Holli Rae Kenley is geographically located?
The Holli Rae Kenley is physically situated at the following location: 35596 Butterfly Peak Rd, Mountain Center, CA, 925613067.
What is Holli Rae Kenley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Holli Rae Kenley is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date did the Holli Rae Kenley receive its 1073667200 assignment from the Centers for Medicare & Medicaid Services?
The Holli Rae Kenley was assigned its 1073667200 by the Centers for Medicare & Medicaid Services on 2007-01-23.
When was the Holli Rae Kenley's information last updated?
The Holli Rae Kenley's information was last updated on 2007-07-08.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT