Individual provider · Type 1 NPI

Tina Marie Kelly, LMFT

Marriage & Family Therapist · Santa Rosa, CA

NPI number 1407219355 Active

Practice location

1144 Sonoma Ave, Suite 104
Santa Rosa, CA 95405-4812

Fax (707) 546-3937

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLMFT85659 (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 1407219355

Tina Marie Kelly, LMFT's National Provider Identifier is 1407219355, issued on Mar 29, 2016. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Mar 29, 2016.