Kristy Ann K Flanagan, 14368-RAC
Counselor, Addiction (Substance Use Disorder) in Santa Maria, CA. Individual provider (NPI-1).
NPI number1164022174
StatusActive
Last updated in NPPESOct 28, 2020
Details
- NPI
- 1164022174
- Entity type
- Individual (NPI-1)
- Name
- Kristy Ann K Flanagan
- Credential
- 14368-RAC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2020
- Certification date
- Oct 28, 2020
- Last updated
- Oct 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 14368RAC | CA | Yes |
Practice location
401 W Morrison Ave Ste BSanta Maria, CA 93458-6124
Phone 805-347-3338 · Fax 866-729-9741
Mailing address
401 W Morrison Ave Ste BSanta Maria, CA 93458-6124
Phone 805-347-3338 · Fax 866-729-9741
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