Individual
KRISTINA P SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NLC.0108014
CO
101YP2500X
Professional Counselor
Primary
13563
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13563
CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
CA
01
—
NLC.0108014
DEPARTMENT OF REGULATORY AGENCY
CO
Enumeration date
05/12/2020
Last updated
11/24/2023
Update your record
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