Individual
KAELYN MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 FIFTH AVE STE 230, SAN DIEGO, CA 92103-5873
(760) 374-4295
Mailing address
3033 FIFTH AVE STE 230, SAN DIEGO, CA 92103-5873
(509) 951-2783
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC16582
CA
Other
Enumeration date
04/10/2023
Last updated
11/06/2025
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