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

Kristen Lebacqz, MFT

Individual provider Marriage & Family Therapist · NPI 1053027961

Kristen Lebacqz, MFT is a Marriage & Family Therapist in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

2400 Las Gallinas Ave Ste 265B
San Rafael, CA 94903-1453
Phone: (415) 729-4802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 89999 (CA)

Record details

NPI number1053027961
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT
Sole proprietorYes
NPI enumeratedJanuary 24, 2023
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

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