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

Individual provider Marriage & Family Therapist · NPI 1063053684

Charro Bijan Kennebruew is a Marriage & Family Therapist in Lynwood, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
5
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Practice location Address checks out

2640 Industry Way
Lynwood, CA 90262-4284
Phone: (310) 627-4525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 17695 Industrial Farm Rd, Bakersfield, CA 93308-9520 — (661) 391-3190
  • 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 — (661) 322-1021

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 37712 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence APCC7330 (CA)
Marriage & Family Therapist Taxonomy 106H00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1063053684
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2019
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022

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