Provider Demographics
NPI:1821314675
Name:KRYSTEK, CRISTINA RENEE (LMFT)
Entity type:Individual
Prefix:MISS
First Name:CRISTINA
Middle Name:RENEE
Last Name:KRYSTEK
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17140 BERNARDO CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2093
Mailing Address - Country:US
Mailing Address - Phone:877-496-0450
Mailing Address - Fax:760-796-4397
Practice Address - Street 1:17140 BERNARDO CENTER DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2093
Practice Address - Country:US
Practice Address - Phone:877-496-0450
Practice Address - Fax:760-796-4397
Is Sole Proprietor?:No
Enumeration Date:2010-04-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92693106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist