Most Relevant Information
Provider Data
| NPI Number: | 1003691809 |
| Provider Name: | KRYSTAL N PEREZ MERCADO |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 150816 |
Most Important Dates
| Enumeration Date: | 08/29/2023 |
| Last Updated: | 11/01/2024 |
Provider Practice Location
10038 MEADOW WAY UNIT D
TRUCKEE
CA
961614974
Practice Location Phone/Fax
| Phone: | 9392501313 |
| Fax: |
Provider Mailing Location
10038 MEADOW WAY UNIT D
TRUCKEE
CA
961614974
Provider Mailing Phone/Fax
| Phone: | 9392501313 |
| Fax: |