Provider Demographics
NPI:1396397477
Name:QUINTON, KENDRA K (MFT)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:K
Last Name:QUINTON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 LOST HILLS RD UNIT 1307
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-5376
Mailing Address - Country:US
Mailing Address - Phone:818-326-3859
Mailing Address - Fax:
Practice Address - Street 1:4240 LOST HILLS RD UNIT 1307
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91301-5376
Practice Address - Country:US
Practice Address - Phone:818-326-3859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32047106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist