MEDICARE: MRS. ANGELA DONNA KRIEGLER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	42858	CA

General Provider Information

NPI Number	:	1972710341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA DONNA KRIEGLER LMFT

Provider Business Mailing Address
First Line	:	2043 EAST ST
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94520-2126
Country	:	US
Telephone Number	:	408-772-9953
Fax Number	:	925-431-2610

Provider Business Practice Location Address
First Line	:	2043 EAST ST
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94520-2126
Country	:	US
Telephone Number	:	408-772-9953
Fax Number	:	925-431-2610

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	02/07/2017

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