Provider Demographics
NPI:1386392397
Name:ALANDZES-KUYKENDALL, CHRISTIAN TAYLOR (BS)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:TAYLOR
Last Name:ALANDZES-KUYKENDALL
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-5908
Mailing Address - Country:US
Mailing Address - Phone:209-381-4056
Mailing Address - Fax:
Practice Address - Street 1:1800 MATTHEWS AVE
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301-2079
Practice Address - Country:US
Practice Address - Phone:209-381-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health