Most Relevant Information
Provider Data
| NPI Number: | 1003227877 |
| Provider Name: | KRYSTAL FRAUSTO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6542 |
Most Important Dates
| Enumeration Date: | 05/15/2014 |
| Last Updated: | 11/22/2019 |
Provider Practice Location
17800 US HIGHWAY 18
APPLE VALLEY
CA
923071221
Practice Location Phone/Fax
| Phone: | 7609468200 |
| Fax: | 7602421425 |
Provider Mailing Location
17800 US HIGHWAY 18
APPLE VALLEY
CA
923071221
Provider Mailing Phone/Fax
| Phone: | 7609468200 |
| Fax: | 7602421425 |