Individual provider · Type 1 NPI

Kristina Ann Dement

Addiction (Substance Use Disorder) Counselor · Camino, CA

NPI number 1346957974 Active

Practice location

5494 Pony Express Trl
Camino, CA 95709-9403

Call (530) 644-3758 Map

Fax (530) 644-3782

Mailing address

2844 Coloma St
Placerville, CA 95667-4406

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1486461022 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1346957974

Kristina Ann Dement's National Provider Identifier is 1346957974, issued on Nov 2, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Camino, CA. The record was last updated on Nov 2, 2022.