Individual provider · Type 1 NPI

Krystal Rosebud Portalatin, B.A.

Counselor · San Diego, CA

NPI number 1316132889 Active

Practice location

2250 4th Ave, Suite 301
San Diego, CA 92101-2124

Call (619) 525-9903 Map

Fax (619) 525-9908

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1316132889

Krystal Rosebud Portalatin, B.A.'s National Provider Identifier is 1316132889, issued on Sep 7, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 7, 2007.