Creed, Kristi A

Creed, Kristi A is an individual health care provider with primary practice located at 103 S Forest Rd , Sonora CA 95370-4895. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Creed, Kristi A can be contacted via phone (209) 533-1699.

Contact Information

Primary practice address
103 S Forest Rd Sonora CA 95370-4895
Phone: (209) 533-1699
Fax: (209) 532-7917
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 70738 California
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSB94025941 California

Profile Details

NPI number 1326566019
LBN Legal business name Creed, Kristi A
Credentials REG PSY ASST, MSW,
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2017
Last updated Dec 1st, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326566019 NPPES
California MEDICAID 1477887834

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