MEDICARE: KRYSTINA ESQUIBEL MS, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPCC18494	CA
2	106H00000X	Marriage & Family Therapist	AMFT127233	CA

General Provider Information

NPI Number	:	1306468681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTINA ESQUIBEL MS, LPCC

Provider Business Mailing Address
First Line	:	1750 MERIDIAN AVE # 6263
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-5545
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 N 2ND ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95112-4015
Country	:	US
Telephone Number	:	669-250-2219
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2020
Last Update Date	:	10/16/2025

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