Kendell Jack, D.C

NPI 1063386829 · on the registry since 2025

Practice

Address: 7765 Healdsburg Ave
Sebastopol, CA 95472
Phone: (707) 823-3113
Organisation at this address: Kitty Chelton Mft
Maggie Self, Lmft
Lesley Cantor A Family Therapy Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California