Individual
DR. KRISTIN M MAKENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED EDUC. PSYCH
Contact information
Practice address
1461 HIGUERA ST STE D, SAN LUIS OBISPO, CA 93401-2948
(619) 977-7224
Mailing address
1375 E GRAND AVE # 103-327, ARROYO GRANDE, CA 93420-2421
(619) 977-7224
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3575
CA
103TC1900X
Counseling Psychologist
3575
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3575
CA
103TS0200X
School Psychologist
3575
CA
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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