Individual provider · Type 1 NPI

Kennedy Rothenbuescher

Mental Health Counselor · San Mateo, CA

NPI number 1013480367 Active

Practice location

3701 Hacienda St
San Mateo, CA 94403-4366

Mailing address

1080 Marina Village Pkwy Ste 100
Alameda, CA 94501-1078

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013480367

Kennedy Rothenbuescher's National Provider Identifier is 1013480367, issued on Jan 9, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Mateo, CA. The record was last updated on Oct 29, 2023.