Provider Demographics
NPI:1801482500
Name:GUENTHER, KRISTIN KAY (LMFT)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:KAY
Last Name:GUENTHER
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 1:12 MANCERA
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-2715
Mailing Address - Country:US
Mailing Address - Phone:949-293-8567
Mailing Address - Fax:
Practice Address - Street 1:23456 MADERO
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-2701
Practice Address - Country:US
Practice Address - Phone:949-293-8567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122939106H00000X
CA139246106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist