Healthcare Provider Details

I. General information

NPI: 1447812896
Provider Name (Legal Business Name): KRISTIN DANIELLE HUNEAU LMFT, PCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2019
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27401 LOS ALTOS STE 120
MISSION VIEJO CA
92691-8580
US

IV. Provider business mailing address

27401 LOS ALTOS STE 120
MISSION VIEJO CA
92691-8580
US

V. Phone/Fax

Practice location:
  • Phone: 253-346-0127
  • Fax:
Mailing address:
  • Phone: 253-346-0127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number44479
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT141286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: