Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristine Mae Faddisstuart

Individual provider Peer Specialist · NPI 1891635520

Kristine Mae Faddisstuart is a Peer Specialist in San Andreas, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

590 Toyanza Dr
San Andreas, CA 95249-9713
Phone: (209) 754-6562
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-RMODKG (CA)

Record details

NPI number1891635520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2026
Last updated in NPPESMarch 31, 2026
Certification dateMarch 25, 2026

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