Provider Demographics
NPI:1003245358
Name:WOODS, KRISTEN (LMFT)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 E AVENUE S STE G #180
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-6403
Mailing Address - Country:US
Mailing Address - Phone:661-418-4756
Mailing Address - Fax:
Practice Address - Street 1:1543 E PALMDALE BLVD STE K-2
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-2000
Practice Address - Country:US
Practice Address - Phone:661-418-4756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-07
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFTI 72649101Y00000X, 101YM0800X
CALMFT98902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health