Provider Information for 1801342571
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KENDRA PAULSEN LMFT
Other Names:Former Name:KENDRA PAULSEN LOVELESSSex: Female
NPI: 1801342571
Last Updated: 2023-09-11
Certification Date: 2023-09-11
Certification Date: 2023-09-11
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801342571 | ||||||||||||
| Enumeration Date | 2016-08-31 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 77 SOLANO SQ #207 BENICIA, CA 94510 United States Phone: 925-997-2866 | Fax: | ||||||||||||
| Primary Practice Address | 600 MILITARY E BENICIA, CA 94510-9451 United States Phone: 510-239-7049 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 2501 HARRISON ST | ||||||||||||
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