Individual provider · Type 1 NPI

Stephen J. Kenneally, MBA, MA, MFT

Marriage & Family Therapist · Santa Monica, CA

NPI number 1720468036 Active

Practice location

610 Santa Monica Bvd, Ste. 201
Santa Monica, CA 90401

Mailing address

610 Santa Monica Blvd, Ste. 201
Santa Monica, CA 90401-1632

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X44236 (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 1720468036

Stephen J. Kenneally, MBA, MA, MFT's National Provider Identifier is 1720468036, issued on Jun 2, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Monica, CA. The record was last updated on Jun 2, 2015.