Provider Demographics
NPI:1851780712
Name:KENDALL, JENNIFER (LMFT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:KENDALL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E HOWARD ST STE 118
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-4209
Mailing Address - Country:US
Mailing Address - Phone:218-263-1347
Mailing Address - Fax:218-263-3241
Practice Address - Street 1:302 E HOWARD ST STE 118
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-4209
Practice Address - Country:US
Practice Address - Phone:218-263-1347
Practice Address - Fax:218-263-3241
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3012106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist