MEDICARE: AUDREY CREEL

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	AMFT161252	CA

General Provider Information

NPI Number	:	1750231809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDREY CREEL

Provider Business Mailing Address
First Line	:	50 W HILLCREST DR STE 206
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-4232
Country	:	US
Telephone Number	:	805-800-9865
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 W HILLCREST DR STE 206
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-4232
Country	:	US
Telephone Number	:	805-800-9865
Fax Number	:

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

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “ AUDREY CREEL ” Practice Location

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