Provider Demographics
NPI:1942875265
Name:KUCHLER, JENNIFER N (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:N
Last Name:KUCHLER
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 1:113 S IRENA AVE APT B
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3483
Mailing Address - Country:US
Mailing Address - Phone:201-312-1947
Mailing Address - Fax:
Practice Address - Street 1:113 S IRENA AVE APT B
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3483
Practice Address - Country:US
Practice Address - Phone:424-272-6168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA138153106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist