Provider Demographics
NPI:1144652256
Name:KITCHEN, NEIL MATTHEW (LMFT)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:MATTHEW
Last Name:KITCHEN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 MALL VIEW RD. STE 115
Mailing Address - Street 2:PO BOX 219
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-3046
Mailing Address - Country:US
Mailing Address - Phone:661-831-3680
Mailing Address - Fax:
Practice Address - Street 1:5801 SUNDALE AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2924
Practice Address - Country:US
Practice Address - Phone:661-827-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF97076106H00000X
171M00000X
CALMFT114484106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator