Most Relevant Information
Provider Data
| NPI Number: | 1003576158 |
| Provider Name: | KRISTYN MASON |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/29/2021 |
| Last Updated: | 12/29/2021 |
Provider Practice Location
16360 ROSCOE BLVD UNIT 2
VAN NUYS
CA
914061219
Practice Location Phone/Fax
| Phone: | 8189014830 |
| Fax: |
Provider Mailing Location
1407 PALISADES DR
PACIFIC PALISADES
CA
902722155
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |