Provider Demographics
NPI:1699339036
Name:GALINDO, KARYN L (LMFT)
Entity type:Individual
Prefix:
First Name:KARYN
Middle Name:L
Last Name:GALINDO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 S ARCHIBALD AVE STE H109
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-9001
Mailing Address - Country:US
Mailing Address - Phone:909-917-6889
Mailing Address - Fax:
Practice Address - Street 1:3045 S ARCHIBALD AVE STE H109
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-9001
Practice Address - Country:US
Practice Address - Phone:909-917-6889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA129194106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAMFT89756OtherSTATE OF CALIFORNIA
CAAMFT89756OtherASSOCIATE MFT