Provider Demographics
NPI:1407244080
Name:PRICE, KRISTI RENEE (MA)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:RENEE
Last Name:PRICE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:RENEE
Other - Last Name:BAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:5001 EAST COMMERCENTER DRIVE SUITE 255
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0711
Mailing Address - Country:US
Mailing Address - Phone:661-221-2780
Mailing Address - Fax:
Practice Address - Street 1:5001 EAST COMMERCENTER DRIVE SUITE 255
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0711
Practice Address - Country:US
Practice Address - Phone:661-221-2780
Practice Address - Fax:661-427-2314
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT111810106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist