Kennan Court

Individual provider Active NPI Mental Health Counselor · Santa Barbara, CA

NPI 1427792183 · NPPES record last updated Apr 27, 2022

Key facts

NPI
1427792183
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
129943 (CA)
Practice address
1010 Garden St
Santa Barbara, CA 93101-1417
Phone
(805) 455-5023
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
129943CAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 129943 CA Yes

Addresses

Primary practice location

1010 Garden St
Santa Barbara, CA 93101-1417

Mailing address

501 High Grove Ave
Goleta, CA 93117-5536
Phone (805) 455-5023

Other practice location 1

1610 Oak St Ste 206
Solvang, CA 93463-3725
Phone (805) 301-5027

Other providers in Santa Barbara, CA

All providers in Santa Barbara, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.