Provider Demographics
NPI:1891990560
Name:FRANCIS, KENNETH (LMFT)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:KEN
Other - Middle Name:
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 17501
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-7501
Mailing Address - Country:US
Mailing Address - Phone:562-235-8099
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 17501
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-7501
Practice Address - Country:US
Practice Address - Phone:562-235-8099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT37644106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist