Provider Demographics
NPI:1447812896
Name:HUNEAU, KRISTIN DANIELLE (LMFT, PCC)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:DANIELLE
Last Name:HUNEAU
Suffix:
Gender:F
Credentials:LMFT, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27401 LOS ALTOS STE 120
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-8580
Mailing Address - Country:US
Mailing Address - Phone:253-346-0127
Mailing Address - Fax:
Practice Address - Street 1:27401 LOS ALTOS STE 120
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-8580
Practice Address - Country:US
Practice Address - Phone:253-346-0127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-06
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44479246RP1900X, 246RP1900X
CALMFT141286106H00000X
NY175T00000X
CA113511106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No175T00000XOther Service ProvidersPeer Specialist