Healthcare Provider Details

I. General information

NPI: 1346822293
Provider Name (Legal Business Name): KRISTIN ALANA HASSELL LPC, CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 OLSEN DR STE 375
SAN JOSE CA
95117-1688
US

IV. Provider business mailing address

4138 SEAFARER AVE
NORFOLK VA
23518-3584
US

V. Phone/Fax

Practice location:
  • Phone: 888-688-2979
  • Fax:
Mailing address:
  • Phone: 757-320-9558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701010418
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMH25827
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number97733
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: