Provider Demographics
NPI:1518117191
Name:KENT, BRENDA PAULETTE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:PAULETTE
Last Name:KENT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:BRENDA
Other - Middle Name:PAULETTE
Other - Last Name:KENT-SPENHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1060 W SIERRA AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-2063
Mailing Address - Country:US
Mailing Address - Phone:559-437-1111
Mailing Address - Fax:559-437-1118
Practice Address - Street 1:1060 W SIERRA AVE STE 105
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-2063
Practice Address - Country:US
Practice Address - Phone:559-437-1111
Practice Address - Fax:559-437-1118
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29581101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health