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

Dr. Kellen R Grayson, PSYDLMFT

Individual provider Marriage & Family Therapist · NPI 1912119934

Dr. Kellen R Grayson, PSYDLMFT is a Marriage & Family Therapist in Fair Oaks, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

4070 Bridge St Ste 3
Fair Oaks, CA 95628-7557
Phone: (415) 320-0141
Fax: (510) 201-2491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 50074 (CA)

Record details

NPI number1912119934
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYDLMFT
Sole proprietorYes
NPI enumeratedMay 3, 2007
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

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