Krysta A Banazek in San Mateo - Marriage & Family Therapist
Krysta A Banazek - NPI 1760592901
Krysta A Banazek is a Marriage & Family Therapist in San Mateo, California. Krysta A Banazek practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Krysta A Banazek is 1760592901. The last update date is 2007-07-08.
Krysta A Banazek's current location address is 205 E 3rd Ave, San Mateo, California. You can contact this provider via phone number 6505766764. The mailing address for Krysta A Banazek is 205 E 3rd Ave, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Krysta A Banazek |
|---|---|
| Address | 205 E 3rd Ave, San Mateo, California |
| Phone Number | 6505766764 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1760592901 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 205 E 3rd Ave |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 944014051 |
| Phone Number | 6505766764 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 43328 |
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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 Krysta A Banazek's unique identification number?
The Krysta A Banazek has been assigned the NPI (National Provider Identifier) Number 1760592901 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Krysta A Banazek is located?
The Krysta A Banazek is situated at the following address: 205 E 3Rd Ave, San Mateo, CA, 944014051.
What is the area of specialization for Krysta A Banazek, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Krysta A Banazek is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760592901 to Krysta A Banazek?
The Krysta A Banazek received its 1760592901 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the Krysta A Banazek's information last updated?
The Krysta A Banazek's information was last updated on 2007-07-08.
NPI Number: 1336142389
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