Healthcare Provider Details

I. General information

NPI: 1720653769
Provider Name (Legal Business Name): KRISTEN ANDERSON HOOVER AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 S EL CAMINO REAL STE 305
OCEANSIDE CA
92054-6376
US

IV. Provider business mailing address

2204 S EL CAMINO REAL STE 305
OCEANSIDE CA
92054-6376
US

V. Phone/Fax

Practice location:
  • Phone: 760-407-6664
  • Fax:
Mailing address:
  • Phone: 760-407-6664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number150027
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: