Kristal Alexis Audoma in Montclair - Marriage & Family Therapist
Kristal Alexis Audoma - NPI 1093838500
Kristal Alexis Audoma is a Marriage & Family Therapist in Montclair, California. Kristal Alexis Audoma practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kristal Alexis Audoma is 1093838500. The last update date is 2022-02-14.
Kristal Alexis Audoma's current location address is 10046 Fremont Ave, Montclair, California. You can contact this provider via phone number 3238416853. The mailing address for Kristal Alexis Audoma is 10046 Fremont Ave, Montclair, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristal Alexis Audoma |
|---|---|
| Address | 10046 Fremont Ave, Montclair, California |
| Phone Number | 3238416853 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1093838500 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2022-02-14 |
Provider Mailing Address Detail
| Address | 10046 Fremont Ave |
|---|---|
| City | Montclair |
| State | California (CA) |
| Post Code | 917633224 |
| Phone Number | 3238416853 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 50388 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code assigned to Kristal Alexis Audoma by the Centers for Medicare & Medicaid Services?
The Kristal Alexis Audoma has been issued the NPI (National Provider Identifier) 1093838500 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kristal Alexis Audoma located?
The Kristal Alexis Audoma is located at 10046 Fremont Ave, Montclair, CA 917633224.
What is Kristal Alexis Audoma's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristal Alexis Audoma is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
On what date did the Kristal Alexis Audoma receive the assignment of its 1093838500 from the Centers for Medicare & Medicaid Services?
The Kristal Alexis Audoma was issued its 1093838500 by the Centers for Medicare & Medicaid Services on 2007-04-09.
When was the information related to Kristal Alexis Audoma most recently updated or refreshed?
The details pertaining to the Kristal Alexis Audoma, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-02-14.
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