Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaelyn Marie Licensed Professional Clinical Counselor Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1437963485

Kaelyn Marie Licensed Professional Clinical Counselor Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in San Diego, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3033 Fifth Ave Ste 230
San Diego, CA 92103-5873
Phone: (323) 628-8452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1437963485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaelyn Kennedy — Ceo · (509) 951-2783
NPI enumeratedFebruary 1, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address3033 Fifth Ave Ste 230, San Diego, CA 92103-5873

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