Individual
DR. LARA DANIELLE KENNERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2715 K ST STE 200, SACRAMENTO, CA 95816-5139
(916) 336-4351
Mailing address
PO BOX 160224, SACRAMENTO, CA 95816-0170
(916) 336-4351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
PSY29433
CA
Other
Enumeration date
11/29/2006
Last updated
01/26/2026
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