Provider Demographics
NPI:1518571884
Name:PLINSKI, KRISTI MARIE (MSPC, MED, LAC)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:MARIE
Last Name:PLINSKI
Suffix:
Gender:F
Credentials:MSPC, MED, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2676 E CAROB DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-2732
Mailing Address - Country:US
Mailing Address - Phone:602-300-3244
Mailing Address - Fax:
Practice Address - Street 1:2111 E BASELINE RD STE B1
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1517
Practice Address - Country:US
Practice Address - Phone:602-300-3244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-18864101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health