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Contact Information

KRISTINE M ROUNSEVILLE
484 PLEASANT VALLEY RD 4
DIAMOND SPRINGS, CA95684
 Phone: 530-344-7633
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KRISTINE M ROUNSEVILLE · (Female)

NPI Number 1205717550
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2025
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 22477
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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