Provider Demographics
NPI:1407479496
Name:LONDONO, KENNY (MS, LMFT)
Entity type:Individual
Prefix:
First Name:KENNY
Middle Name:
Last Name:LONDONO
Suffix:
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8895 N MILITARY TRL BLDG 2
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6220
Mailing Address - Country:US
Mailing Address - Phone:917-855-2799
Mailing Address - Fax:561-828-9305
Practice Address - Street 1:8895 N MILITARY TRL BLDG 2
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6220
Practice Address - Country:US
Practice Address - Phone:917-855-2799
Practice Address - Fax:561-828-9305
Is Sole Proprietor?:No
Enumeration Date:2020-05-25
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002899106H00000X
FLMT3506106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist