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NPI Code Detail

MEDICARE: MRS. KRISTINE ANN RECENDEZ LPCC, LPC

MEDICARE:  MRS. KRISTINE ANN RECENDEZ  LPCC, LPC
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
1101YP2500XProfessional Counselor0701006993VA
2101YM0800XMental Health Counselor8405CA

General Provider Information

NPI Number : 1982029427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTINE ANN RECENDEZ LPCC, LPC
Provider Business Mailing Address
First Line : 5151 N PALM AVE STE 400
Second Line :
City : FRESNO
State : CA
Zip : 93704-2208
Country : US
Telephone Number : 559-289-6406
Fax Number : 559-523-4652
Provider Business Practice Location Address
First Line : 5151 N PALM AVE STE 400
Second Line :
City : FRESNO
State : CA
Zip : 93704-2208
Country : US
Telephone Number : 559-289-6406
Fax Number : 559-523-4652
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2014
Last Update Date : 11/02/2023

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Directions to “ MRS. KRISTINE ANN RECENDEZ LPCC, LPC” Practice Location

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