Provider Demographics
NPI:1578641122
Name:LOREE, CRISTINA MARIE (MA)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:MARIE
Last Name:LOREE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 GALVEZ DR
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-4212
Mailing Address - Country:US
Mailing Address - Phone:650-355-1575
Mailing Address - Fax:
Practice Address - Street 1:1219 GALVEZ DR
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-4212
Practice Address - Country:US
Practice Address - Phone:650-355-1575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health