Provider Demographics
NPI:1912027939
Name:KEMP, MARY F (LMFT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:F
Last Name:KEMP
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 1:1304 E MAIN ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-3202
Mailing Address - Country:US
Mailing Address - Phone:805-643-0300
Mailing Address - Fax:
Practice Address - Street 1:1304 E MAIN ST
Practice Address - Street 2:SUITE D
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-3202
Practice Address - Country:US
Practice Address - Phone:805-643-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist