Kenneth Pense MA, MFCT

NPI 1194919696 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1194919696
Gender Male
Enumeration Date 08/28/2007
Last Updated 07/23/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
3300 DOUGLAS BLVD
SUITE 190
ROSEVILLE CA, 95661-3844, US
Phone (915) 787-0555
Fax (916) 787-6222
Business Location
3300 DOUGLAS BLVD
SUITE 190
ROSEVILLE CA, 95661-3844, US
Phone (916) 787-0555
Fax (916) 787-6222
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 24310
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According to our database, Mr. Kenneth Pense MA, MFCT NPI is 1194919696, taxonomy code is 106H00000X and license number is 24310, license state is located at California. Kenneth Pense MA, MFCT physically located at 3300 Douglas Blvd, Roseville CA, 95661-3844. NPI Number Kenneth Pense MA, MFCT has the Individual type.

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1194919696 NPI number is provided on an as is basis without warranty of any kind. 1194919696 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Pense MA, MFCT are for informational purposes only.