Individual
KRISANA SOOKPISAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
44447 10TH ST W, LANCASTER, CA 93534-3324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16453
CA
175T00000X
Peer Specialist
Primary
MPSS-WIKOFH
CA
Other
Enumeration date
11/20/2024
Last updated
01/27/2026
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