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Kenyon Smith
Counselor in San Diego, California
NPI 1407632953

Kenyon Smith is a Counselor based in San Diego, CA. Kenyon Smith practices in San Diego, CA. The NPI Number for Kenyon Smith is 1407632953 and holds a License No. (California).

The current practice location address for Kenyon Smith is 8910 Clairemont Mesa Blvd, San Diego, CA and can be reached out via phone at 858-514-5144 and via fax at 858-514-5195.

Location: 8910 Clairemont Mesa Blvd, San Diego, CA, 92123-1104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407632953
Provider Name
Kenyon Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
8910 Clairemont Mesa Blvd, San Diego, CA, 92123-1104
Phone Number
858-514-5144
Fax Number
858-514-5195
Provider Enumeration Date
08/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8910 Clairemont Mesa Blvd
City
San Diego
State
California
Zip
92123-1104
Phone Number
858-514-5144
Fax Number
858-514-5195
person
Provider Business Mailing Address Details
Address
8910 Clairemont Mesa Blvd
City
San Diego
State
California
Zip
92123-1104
Phone Number
858-514-5144
Fax Number
858-514-5195
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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