# KEMP INDIVIDUAL & FAMILY THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043759491
- **Authorized official:** MRS. MARY SHANNON KEMP LMFT (OWNER/VICE PRESIDENT)
- **Authorized official phone:** (619) 742-9479

## Contact information

- **Practice address:** 20786 BEAR VALLEY RD STE I, APPLE VALLEY, CA 92308-6909
- **Practice address phone:** (619) 742-9479
- **Practice address fax:** (760) 254-9904
- **Mailing address:** 9979 MOCKINGBIRD AVE, APPLE VALLEY, CA 92308-8302
- **Mailing address phone:** (619) 742-9479
- **Mailing address fax:** (760) 254-9904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LMFT 51919 | CA | Yes |

## Other

- **Enumeration date:** 02/17/2017
- **Last updated:** 02/06/2025