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Organization
KAELYN MARIE LICENSED PROFESSIONAL CLINICAL COUNSELOR INC
Active
Organization
KAELYN MARIE LICENSED PROFESSIONAL CLINICAL COUNSELOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAELYN KENNEDY LPCC (CEO)
(509) 951-2783
Entity
Organization
Contact information
Practice address
3033 FIFTH AVE STE 230, SAN DIEGO, CA 92103-5873
(323) 628-8452
Mailing address
3033 FIFTH AVE STE 230, SAN DIEGO, CA 92103-5873
(509) 951-2783
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/01/2025
Last updated
11/06/2025
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