Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1245585538 |
---|---|
Provider Name | Dr. Kristen L Kirchner |
First Address | Los Angeles, CA 90034-3710 |
Second Address | Los Angeles, CA 90034-3710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2012 |
Last Update Date | 23/07/2012 |