Individual provider · Type 1 NPI

Kristin Canedo

Mental Health Counselor · Irvine, CA

NPI number 1639712821 Active

Practice location

19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407

Call (949) 409-5755 Map

Mailing address

162 Rochester St Unit B
Costa Mesa, CA 92627-3009

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X10290 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400X5819 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1639712821

Kristin Canedo's National Provider Identifier is 1639712821, issued on Oct 21, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Irvine, CA. The record was last updated on Sep 15, 2025.