| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEVIN ANTHONY HENRIQUEZ | 1720403454 | 2024-09-08 |
Kevin Anthony Henriquez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720403454. Registration indicates Kevin Anthony Henriquez is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Kevin Anthony Henriquez |
| Practice Office Address | 1950 ALAMEDA DE LAS PULGAS SAN MATEO, CA US |
| Practice Office Telephone | 6504647831 |
| Mailing Address | 1950 ALAMEDA DE LAS PULGAS SAN MATEO, CA 944031222 US |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | |
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 129317
CA |