Provider Demographics
NPI:1851740393
Name:YE, KRISTINA MAIJA (LMFT)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:MAIJA
Last Name:YE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:MAIJA
Other - Last Name:CASALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 161442
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92176-1442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9666 BUSINESSPARK AVE STE 207
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1646
Practice Address - Country:US
Practice Address - Phone:858-367-0525
Practice Address - Fax:858-367-8383
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist