Provider Demographics
NPI:1902484306
Name:KBH INDIVIDUAL AND FAMILY COUNSELING INC.
Entity Type:Organization
Organization Name:KBH INDIVIDUAL AND FAMILY COUNSELING INC.
Other - Org Name:KBH COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KANDIS
Authorized Official - Middle Name:BRIANNE
Authorized Official - Last Name:HUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:657-333-2722
Mailing Address - Street 1:758 N GLASSELL ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-6777
Mailing Address - Country:US
Mailing Address - Phone:657-333-2722
Mailing Address - Fax:
Practice Address - Street 1:758 N GLASSELL ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-6777
Practice Address - Country:US
Practice Address - Phone:657-333-2722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty