Most Relevant Information
Provider Data
NPI Number: | 1003489543 |
Provider Name: | KRISTEN WRIGHT |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | R1430160521 |
Most Important Dates
Enumeration Date: | 07/22/2021 |
Last Updated: | 07/22/2021 |
Provider Practice Location
18646 OXNARD ST
TARZANA
CA
913561411
Practice Location Phone/Fax
Phone: | 8189961051 |
Fax: | 8183453778 |
Provider Mailing Location
18646 OXNARD ST
TARZANA
CA
913561411
Provider Mailing Phone/Fax
Phone: | 8189961051 |
Fax: | 8183453778 |