Organization
COUNTY OF KERN
Active
Other names
Kern BHRS Mary Kay Shell
Organization subpart
No
Provider details
NPI number
Authorized official
STACY KUWAHARA LMFT (DIRECTOR)
(661) 868-6600
Entity
Organization
Contact information
Practice address
2151 COLLEGE AVE, BAKERSFIELD, CA 93305-4172
(661) 868-6600
(661) 861-1020
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-6600
(661) 861-1020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1500
—
CA
Enumeration date
02/27/2007
Last updated
03/12/2021
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