# KEVIN M. KILBANE, L.M.F.T., INC.

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

## Provider details

- **NPI number:** 1063560480
- **Authorized official:** MR. KEVIN MICHAEL KILBANE L.M.F.T. (OWNER)
- **Authorized official phone:** (562) 424-8503

## Contact information

- **Practice address:** 3815 ATLANTIC AVE STE 2, LONG BEACH, CA 90807-3500
- **Practice address phone:** (562) 424-8503
- **Practice address fax:** (562) 424-8772
- **Mailing address:** 3815 ATLANTIC AVE STE 2, LONG BEACH, CA 90807-3500
- **Mailing address phone:** (562) 424-8503
- **Mailing address fax:** (562) 424-8772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC36992 | CA | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020