Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KENDALL INDIVIDUAL FAMILY AND MARRIAGE THERAPISTS INC
Active
Organization
KENDALL INDIVIDUAL FAMILY AND MARRIAGE THERAPISTS INC
Active
Other names
FOURTH STREET CHRISTIAN THERAPISTS
Organization subpart
No
Provider details
NPI number
Authorized official
JOY LYN KENDALL LMFT (PRESIDENT/OWNER)
(707) 535-6615
Entity
Organization
Contact information
Practice address
1622 4TH ST, SANTA ROSA, CA 95404-4020
(707) 571-1714
Mailing address
1622 4TH ST, SANTA ROSA, CA 95404-4020
(707) 535-6615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
07/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers