Provider Demographics
NPI:1225481971
Name:THOMPSON, KRESTI ELIZABETH
Entity Type:Individual
Prefix:MRS
First Name:KRESTI
Middle Name:ELIZABETH
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 E SANTA PAULA ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:SANTA PAULA
Mailing Address - State:CA
Mailing Address - Zip Code:93060-2066
Mailing Address - Country:US
Mailing Address - Phone:805-933-8480
Mailing Address - Fax:805-933-2641
Practice Address - Street 1:725 E SANTA PAULA ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-2066
Practice Address - Country:US
Practice Address - Phone:805-933-8480
Practice Address - Fax:805-933-2641
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health