Gordiejew, Kristin
Gordiejew, Kristin is an individual health care provider with primary practice located at 2455 Bennett Valley Road B201, Santa Rosa CA 95404. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gordiejew, Kristin can be contacted via phone (707) 520-4357.Contact Information
Primary practice address
2455 Bennett Valley Road B201
Santa Rosa CA 95404
Phone: (707) 520-4357
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT87380 | California |
Profile Details
| NPI number | 1750641940 |
|---|---|
| LBN Legal business name | Gordiejew, Kristin |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2012 |
| Last updated | Mar 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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