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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