Provider Demographics
NPI:1326075417
Name:KENNEY, RUTH ANN (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ANN
Last Name:KENNEY
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2794 BRADSHAW RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-1338
Mailing Address - Country:US
Mailing Address - Phone:916-364-0718
Mailing Address - Fax:
Practice Address - Street 1:2750 GATEWAY OAKS DR
Practice Address - Street 2:SUITE 350
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-3661
Practice Address - Country:US
Practice Address - Phone:916-614-2888
Practice Address - Fax:916-503-6917
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34461106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist