Provider Demographics
NPI:1982029427
Name:RECENDEZ, KRISTINE ANN (LPCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:ANN
Last Name:RECENDEZ
Suffix:
Gender:F
Credentials:LPCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 N PALM AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-2208
Mailing Address - Country:US
Mailing Address - Phone:559-289-6406
Mailing Address - Fax:559-523-4652
Practice Address - Street 1:5151 N PALM AVE STE 400
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-2208
Practice Address - Country:US
Practice Address - Phone:559-289-6406
Practice Address - Fax:559-523-4652
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006993101YP2500X
CA8405101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional