Provider Demographics
NPI:1609238872
Name:O'HORA, KENDRA ANN (LGMFT)
Entity Type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:ANN
Last Name:O'HORA
Suffix:
Gender:F
Credentials:LGMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1695 DEEP RUN RD
Mailing Address - Street 2:
Mailing Address - City:WHITEFORD
Mailing Address - State:MD
Mailing Address - Zip Code:21160-1520
Mailing Address - Country:US
Mailing Address - Phone:740-223-6303
Mailing Address - Fax:
Practice Address - Street 1:1212 E CHURCHVILLE RD STE 301
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3482
Practice Address - Country:US
Practice Address - Phone:740-223-6303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGM538106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist