| Doctor Name: | MR. CHRISTOPHER KRASKIN |
| NPI Number: | 1770929432 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCS 28805 |
| Business Practice Address: | 28545 State Hwy 18 Skyforest, CA - 92385 |
| Business Phone Number: | 9093361800 |
| Business Fax Number: | 9093360990 |
| Mailing Address: | Po Box 1122, BLUE JAY |
| State: | CA |
| Postal Code: | 923171122 |
| Phone Number: | 9093375953 |
| Fax Number: | 9093375953 |
| NPI Enumeration Date: | 05/21/2013 |
| NPI Last Update Date: | 05/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS 28805 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |