Individual
KIRA CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LEP
Contact information
Practice address
3630 WINDING CREEK RD, SACRAMENTO, CA 95864-1531
(916) 995-2830
Mailing address
3630 WINDING CREEK RD, SACRAMENTO, CA 95864-1531
(916) 995-2830
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LEP 3508
CA
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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