Healthcare Provider Details

I. General information

NPI: 1033655436
Provider Name (Legal Business Name): KRISTI HULSEY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2017
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 STOCKDALE HWY
BAKERSFIELD CA
93309-2656
US

IV. Provider business mailing address

9408 VALLEY OAK CT
BAKERSFIELD CA
93311-1617
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-5025
  • Fax:
Mailing address:
  • Phone: 308-641-9048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11092
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC02390
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9989
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC9989
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: