Provider Demographics
NPI:1750717450
Name:FLOWERS, KRISTIN (LMFT)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:
Last Name:FLOWERS
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 1:101 N. IRWIN ST.
Mailing Address - Street 2:SUITE 201E
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230
Mailing Address - Country:US
Mailing Address - Phone:559-816-7652
Mailing Address - Fax:
Practice Address - Street 1:101 N. IRWIN ST.
Practice Address - Street 2:SUITE 201E
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230
Practice Address - Country:US
Practice Address - Phone:559-816-7652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2018-02-08
Deactivation Date:2017-12-07
Deactivation Code:
Reactivation Date:2018-02-05
Provider Licenses
StateLicense IDTaxonomies
CAIMF82273106H00000X
CA98923106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist