Provider Demographics
NPI:1871149468
Name:KENAR, KALI MARIE (LPC)
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:MARIE
Last Name:KENAR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14015 N 94TH ST APT 3051
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-7703
Mailing Address - Country:US
Mailing Address - Phone:602-621-6619
Mailing Address - Fax:
Practice Address - Street 1:2525 W CAREFREE HWY STE 102
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-9302
Practice Address - Country:US
Practice Address - Phone:623-432-8066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-10
Last Update Date:2019-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-17935101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional