Provider Demographics
NPI:1154755981
Name:PARREIRA, KRYSTALINA BENTLEY (MASTERS LMFT)
Entity type:Individual
Prefix:MRS
First Name:KRYSTALINA
Middle Name:BENTLEY
Last Name:PARREIRA
Suffix:
Gender:F
Credentials:MASTERS LMFT
Other - Prefix:MISS
Other - First Name:KRYSTALINA
Other - Middle Name:LOUISE
Other - Last Name:BENTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, IMF
Mailing Address - Street 1:611 ERIN HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-7572
Mailing Address - Country:US
Mailing Address - Phone:559-759-2164
Mailing Address - Fax:
Practice Address - Street 1:520 E TULARE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-3629
Practice Address - Country:US
Practice Address - Phone:559-623-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
CA97022106H00000X
CAIMF 74979106H00000X
CALMFT97022106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health