Provider Demographics
NPI:1497293674
Name:ENGLAND, KENNETH (LMFT)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6418 TWIN SPRINGS AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377-1248
Mailing Address - Country:US
Mailing Address - Phone:818-483-4293
Mailing Address - Fax:
Practice Address - Street 1:6418 TWIN SPRINGS AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:CA
Practice Address - Zip Code:91377-1248
Practice Address - Country:US
Practice Address - Phone:818-483-4293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52332106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist