Provider Demographics
NPI:1962469221
Name:JORRIN, KRISTI DEE
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:DEE
Last Name:JORRIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 N.MARKET
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834
Mailing Address - Country:US
Mailing Address - Phone:916-922-2771
Mailing Address - Fax:916-922-8609
Practice Address - Street 1:601 NORTH MARKET BLVD.
Practice Address - Street 2:SUITE 350
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834
Practice Address - Country:US
Practice Address - Phone:916-922-2771
Practice Address - Fax:916-922-6609
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)