Kristina Kalaya Clancy, LMFT
Marriage & Family Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1164048955
StatusActive
Last updated in NPPESJun 17, 2020
Details
- NPI
- 1164048955
- Entity type
- Individual (NPI-1)
- Name
- Kristina Kalaya Clancy
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2020
- Certification date
- Jun 17, 2020
- Last updated
- Jun 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 119299 | CA | Yes |
Practice location
2333 1st Ave Ste 203San Diego, CA 92101-1540
Phone 619-841-1428
Mailing address
8937 Trailridge AveSantee, CA 92071-2051
Phone 850-240-4046
Other practice locations
8937 Trailridge Ave
Santee, CA 92071-2051
Santee, CA 92071-2051
Phone 850-240-4046
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