Most Relevant Information
Provider Data
| NPI Number: | 1003253832 |
| Provider Name: | KRISTEN ELAINE MCDERMOTT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/03/2013 |
| Last Updated: | 02/02/2021 |
Provider Practice Location
3435 OCEAN PARK BLVD
SANTA MONICA
CA
904053301
Practice Location Phone/Fax
| Phone: | 3103929474 |
| Fax: |
Provider Mailing Location
3435 OCEAN PARK BLVD
SANTA MONICA
CA
904053301
Provider Mailing Phone/Fax
| Phone: | 3103929474 |
| Fax: |