# KELLEN R. GRAYSON MARRIAGE AND FAMILY THERAPY INC.

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

## Provider details

- **NPI number:** 1417805797
- **Authorized official:** DR. KELLEN R GRAYSON PSY.D. LMFT (CEO)
- **Authorized official phone:** (415) 320-0141

## Contact information

- **Practice address:** 507 POLK ST STE 260, SAN FRANCISCO, CA 94102-3375
- **Practice address phone:** (415) 320-0141
- **Mailing address:** 4070 BRIDGE ST STE 3, FAIR OAKS, CA 95628-7557
- **Mailing address phone:** (415) 320-0141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2026
- **Last updated:** 10/02/2026
