Kristina Lynn Gillam
NPI #1194231118 in Joshua Tree, California
Provider Information
- NPI Number
- 1194231118
- Entity Type
- Individual
- Name
- Kristina Lynn Gillam
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Dec 28, 2017
- Last Updated
- Sep 30, 2021
Practice Location
- Address
- 61607 29 PALMS HWY STE D
- City
- Joshua Tree
- State
- California
- ZIP Code
- 92252-2391
- Phone
- (760) 366-8641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Peer Specialist |
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