Provider Demographics
NPI:1629544036
Name:FINN, KENDA FAYE (LPC)
Entity Type:Individual
Prefix:
First Name:KENDA
Middle Name:FAYE
Last Name:FINN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KENDA
Other - Middle Name:FAYE
Other - Last Name:MULKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1402 LONGVIEW ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76306-4647
Mailing Address - Country:US
Mailing Address - Phone:940-337-4105
Mailing Address - Fax:
Practice Address - Street 1:4245 KEMP BLVD STE 720
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-2833
Practice Address - Country:US
Practice Address - Phone:940-240-3975
Practice Address - Fax:940-204-0210
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74549101YP2500X
TX74559101Y00000X, 101YP2500X
TX101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool