Healthcare Provider Details

I. General information

NPI: 1386286383
Provider Name (Legal Business Name): CHRISTY CUPIT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTY RAMOS

II. Dates (important events)

Enumeration Date: 10/10/2019
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 7067
STOCKTON CA
95267-0067
US

IV. Provider business mailing address

PO BOX 7067
STOCKTON CA
95267-0067
US

V. Phone/Fax

Practice location:
  • Phone: 877-693-3357
  • Fax: 209-833-7800
Mailing address:
  • Phone: 877-693-3357
  • Fax: 209-833-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number156695
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: