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General NPI Number Information
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NPI Number | 1174430417
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Entity Type | Organization
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Legal Business Name | KRYSTELINA GONZALEZ, LMFT INC.
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 18077 OUTER HWY 18 STE 300
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2168
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Country | US
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Telephone | 442-229-6446
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Fax |
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Provider Business Mailing Address
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Address Line | 18077 OUTER HWY 18 STE 300
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2168
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Country | US
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Telephone | 442-229-6446
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Fax |
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Authorized Official
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Title or Position | MFT
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Name | KRYSTELINA GONZALEZ
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Credential |
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Telephone | 442-229-6446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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