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Provider Information for 1518459197


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KRISTI L. ROBERTSON LMFT


Sex: Female

NPI: 1518459197
Last Updated: 2023-07-20
Certification Date: 2023-07-20

Details

NameValue
NPI1518459197
Enumeration Date2018-05-31
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108-3505
United States

Phone: 619-346-4020 | Fax:
 
Primary Practice Address 409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108-3505
United States

Phone: 619-346-4020 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthCA130237