Individual provider · Type 1 NPI

Kipenzi M. Herron

Marriage & Family Therapist · San Diego, CA

NPI number 1124806583 Active

Practice location

500 W Harbor Drive, Unit 110
San Diego, CA 92101

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLMFT154306 (CA)
Mental Health Counselor 101YM0800X141076 (CA)
Marriage & Family Therapist Primary 106H00000XLMFT154306 (CA)

Marriage & Family Therapist: 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 supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1124806583

Kipenzi M. Herron's National Provider Identifier is 1124806583, issued on Sep 18, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Diego, CA. The record was last updated on Apr 22, 2025.