Individual provider · Type 1 NPI

Kelly Gene Coburn, LMFT

Marriage & Family Therapist · Santa Ana, CA

NPI number 1750633970 Active

Practice location

401 W Civic Center Dr Ste 600
Santa Ana, CA 92701-4515

Mailing address

2035 E Ball Rd, Ste. 100-A
Anaheim, CA 92806-5159

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X112266 (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 1750633970

Kelly Gene Coburn, LMFT's National Provider Identifier is 1750633970, issued on Oct 11, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Ana, CA. The record was last updated on May 26, 2021.