Provider Demographics
NPI:1962202358
Name:LOMA, KENDAL ANN (MA, LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KENDAL
Middle Name:ANN
Last Name:LOMA
Suffix:
Gender:
Credentials:MA, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 TAPADERO LN
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-6375
Mailing Address - Country:US
Mailing Address - Phone:972-832-3550
Mailing Address - Fax:
Practice Address - Street 1:805 E 1ST ST
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-2919
Practice Address - Country:US
Practice Address - Phone:469-481-6965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90901101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional