Individual
CRISTAL LEANN YTTESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 E F ST, TEHACHAPI, CA 93561-1710
(661) 822-8223
Mailing address
113 E F ST, TEHACHAPI, CA 93561-1710
(661) 822-8223
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119286
CA
1041C0700X
Clinical Social Worker
119286
CA
Other
Enumeration date
06/30/2022
Last updated
10/09/2024
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