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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. YAJAIRA MARILYN KENNISON, PSYD, LCSW

Active

DR. YAJAIRA MARILYN KENNISON, PSYD, LCSW is a Clinical Social Worker healthcare provider located in TRUCKEE, California. NPI 1700031648 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · TRUCKEE, CA

Registration Details

NPI Number
1700031648
Provider Type
Individual
Gender
Female
NPI Issued
Nov 19, 2008 (17.709427867635 yrs)
Last Updated
Apr 28, 2023
Licenses
31592 (MN)
79259 (CA)

Practice Information

Address
10775 PIONEER TRL STE 215
TRUCKEE, CA, 961610234
Browse CA providers · Browse ZIP 96161
Phone
4154244266
Fax
4155206633
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Rehabilitation Counselor
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in TRUCKEE, CA

Name Credential NPI
MS. LINDA NMI LONG LCSW 1497764443
MISS RAQUEL RIOS MSW, LCSW 1699803213
CLAUDIA DOLORES CHAVARRIA MSW, LCSW 1285841452
STACEY STAHL LCSW 1720275738
CARRIE GRANGE ISAACSON LCSW 1679718647
NATALIA GUEVARA MSW, LCSW 1811125677
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.