Provider Demographics
NPI:1114054731
Name:ESQUIBEL, KRISTEEN FRANCEEN (CCDC)
Entity Type:Individual
Prefix:
First Name:KRISTEEN
Middle Name:FRANCEEN
Last Name:ESQUIBEL
Suffix:
Gender:F
Credentials:CCDC
Other - Prefix:
Other - First Name:KRISTEEN
Other - Middle Name:FRANCEEN
Other - Last Name:PRIETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCDC
Mailing Address - Street 1:2080 CENTURY PARK E
Mailing Address - Street 2:SUITE 1802
Mailing Address - City:CENTURY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2001
Mailing Address - Country:US
Mailing Address - Phone:310-553-9500
Mailing Address - Fax:
Practice Address - Street 1:11900 S. AVALON BLVD.
Practice Address - Street 2:SUITE 200
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90061
Practice Address - Country:US
Practice Address - Phone:323-242-0500
Practice Address - Fax:323-242-0600
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)