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Organization
SUPPORT FOR YOUR LIFE
Active
Organization
SUPPORT FOR YOUR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN LYN KAMINSKI (DIRECTOR)
(530) 500-5885
Entity
Organization
Contact information
Practice address
1111 HIGH ST STE B, AUBURN, CA 95603-5151
(530) 500-5885
Mailing address
1111 HIGH ST STE B, AUBURN, CA 95603-5151
(530) 500-5885
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245779552
NPI
—
Enumeration date
03/27/2023
Last updated
08/17/2026
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