Kristina Staley, LPCC
Counselor, Mental Health in San Diego, CA. Individual provider (NPI-1).
NPI number1982241063
StatusActive
Last updated in NPPESDec 8, 2019
Details
- NPI
- 1982241063
- Entity type
- Individual (NPI-1)
- Name
- Kristina Staley
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2019
- Certification date
- Dec 8, 2019
- Last updated
- Dec 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LPCC4675 | CA | Yes |
Practice location
9820 Willow Creek Rd Ste 240San Diego, CA 92131-1114
Phone 619-549-0329
Mailing address
9820 Willow Creek Rd Ste 240San Diego, CA 92131-1114
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