Provider Demographics
NPI:1235678590
Name:DE BREE, KRISTINA MICHELLE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:MICHELLE
Last Name:DE BREE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24506 WINDSOR DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4446
Mailing Address - Country:US
Mailing Address - Phone:661-513-4857
Mailing Address - Fax:661-286-1097
Practice Address - Street 1:23822 VALENCIA BLVD STE 301
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5350
Practice Address - Country:US
Practice Address - Phone:661-513-4857
Practice Address - Fax:661-286-1097
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-20
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98046106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist