Provider Demographics
NPI:1033475280
Name:KESSINGER, CONNIE F (LMFT)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:F
Last Name:KESSINGER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CONNIE
Other - Middle Name:
Other - Last Name:FINKEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11819 TIARA ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-1339
Mailing Address - Country:US
Mailing Address - Phone:818-257-9697
Mailing Address - Fax:
Practice Address - Street 1:1200 WILSHIRE BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-1908
Practice Address - Country:US
Practice Address - Phone:213-481-1374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44432106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist