Healthcare Provider Details

I. General information

NPI: 1225964620
Provider Name (Legal Business Name): KRISTIN NOELLE COLTON AMFT158092
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 2ND ST
ENCINITAS CA
92024-3505
US

IV. Provider business mailing address

709 SEA COTTAGE WAY
OCEANSIDE CA
92054-2158
US

V. Phone/Fax

Practice location:
  • Phone: 619-246-9129
  • Fax:
Mailing address:
  • Phone: 949-436-0003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT158092
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: