Doctor Name: | KRYSTLE GAIL HAYS-HURD |
NPI Number: | 1609090562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, PSYD ABD |
License Number: | IMF48571 |
Business Practice Address: | 12777 West Jefferson Blvd Building D, #300 Playa Vista, CA - 90066 |
Business Phone Number: | 3236960386 |
Business Fax Number: | 3237924867 |
Mailing Address: | 5501 Keniston Ave, LOS ANGELES |
State: | CA |
Postal Code: | 900432251 |
Phone Number: | 3236960386 |
Fax Number: | 3237924867 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 06/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | IMF48571 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |