| Doctor Name: | ETANA G KEMPNER |
| NPI Number: | 1033407622 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 27177 |
| Business Practice Address: | 32392 Coast Hwy Suite 250 Laguna Beach, CA - 926516776 |
| Business Phone Number: | 9494992265 |
| Business Fax Number: | 9494992276 |
| Mailing Address: | 32392 S. Coast Hwy, Suite 250 LAGUNA BEACH |
| State: | CA |
| Postal Code: | 92651 |
| Phone Number: | 9496368460 |
| Fax Number: | 9494992276 |
| NPI Enumeration Date: | 07/15/2011 |
| NPI Last Update Date: | 07/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 27177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |