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

Mr. Kelly Gene Coburn, LMFT

Individual provider Marriage & Family Therapist · NPI 1750633970

Mr. Kelly Gene Coburn, LMFT is a Marriage & Family Therapist in Santa Ana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

401 W Civic Center Dr Ste 600
Santa Ana, CA 92701-4515
Phone: (714) 850-8405
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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 112266 (CA)

Record details

NPI number1750633970
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorYes
NPI enumeratedOctober 11, 2012
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

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