Healthcare Provider Details

I. General information

NPI: 1639600851
Provider Name (Legal Business Name): JEFFREY ALAN KUKRAL LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 10/26/2025
Certification Date: 10/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8035 MADISON AVE STE A4
CITRUS HEIGHTS CA
95610-7949
US

IV. Provider business mailing address

901 H ST STE 120
SACRAMENTO CA
95814-1817
US

V. Phone/Fax

Practice location:
  • Phone: 916-524-6064
  • Fax:
Mailing address:
  • Phone: 916-524-6064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: