Provider Demographics
NPI:1720697584
Name:WILHELM, KENDRA (MA, LMFT)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:WILHELM
Suffix:
Gender:
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 BEACH BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-3606
Mailing Address - Country:US
Mailing Address - Phone:619-363-3371
Mailing Address - Fax:
Practice Address - Street 1:2382 FARADAY AVENUE
Practice Address - Street 2:SUITE 200, #29
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008
Practice Address - Country:US
Practice Address - Phone:619-363-3371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist