Basic Information
| Provider Information | |||||||||
| NPI: | 1972988558 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PAINTER | ||||||||
| FirstName: | KRISTI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8933 N MISTY BROOK DR | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857431507 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3295 W INA RD | ||||||||
| Address2: | 150 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857412191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207444376 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2015 | ||||||||
| LastUpdateDate: | 07/24/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | AZ | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.