Provider Demographics
NPI:1972829505
Name:SALAS, CRISTINA A (MSW)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:A
Last Name:SALAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2143 HURLEY WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3253
Mailing Address - Country:US
Mailing Address - Phone:916-922-5110
Mailing Address - Fax:916-922-5124
Practice Address - Street 1:2143 HURLEY WAY
Practice Address - Street 2:STE 101
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3253
Practice Address - Country:US
Practice Address - Phone:916-922-5110
Practice Address - Fax:916-922-5124
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 20213101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health