Anderson, Kristen
Anderson, Kristen is an sole proprietor health care provider with primary practice located at 1625 Schrader Blvd , Los Angeles CA 90028-6213. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Anderson, Kristen can be contacted via phone (323) 993-3609.Contact Information
Primary practice address
1625 Schrader Blvd
Los Angeles CA 90028-6213
Phone: (323) 993-3609
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 115875 | California |
Profile Details
| NPI number | 1801220892 |
|---|---|
| LBN Legal business name | Anderson, Kristen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2013 |
| Last updated | Nov 14th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801220892 | NPPES |
| California | Other | 01536011 | MEDI-CAL |
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