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Dr. Krystal McCain, DBA

Counselor in Vista, CA. Individual provider (NPI-1).

NPI number1982007274
StatusActive
Last updated in NPPESMay 22, 2025

Details

NPI
1982007274
Entity type
Individual (NPI-1)
Name
Dr. Krystal McCain
Credential
DBA
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 1, 2014
Certification date
May 22, 2025
Last updated
May 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes
101YM0800X Counselor, Mental Health––
171M00000X Case Manager/Care Coordinator––
225400000X Rehabilitation Practitioner––
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

550 W Vista Way
Vista, CA 92083-5732

Phone 760-694-2715

Mailing address

550 W Vista Way Ste 407
Vista, CA 92083-5714

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