Healthcare Provider Details

I. General information

NPI: 1023241080
Provider Name (Legal Business Name): KRISTINA NICOLE SERRANO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ALHAMBRA AVE
MARTINEZ CA
94553-3156
US

IV. Provider business mailing address

633 AZORES CIR
BAY POINT CA
94565-3042
US

V. Phone/Fax

Practice location:
  • Phone: 925-370-5034
  • Fax:
Mailing address:
  • Phone: 925-787-3796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT41435
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: