MEDICARE: CHRISTINE ALAIN KREGER 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	98448	CA

General Provider Information

NPI Number	:	1831639053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ALAIN KREGER LMFT

Provider Business Mailing Address
First Line	:	2550 HONOLULU AVE
Second Line	:	SUITE 103
City	:	MONTROSE
State	:	CA
Zip	:	91020-1858
Country	:	US
Telephone Number	:	626-344-0099
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 HONOLULU AVE
Second Line	:	SUITE 103
City	:	MONTROSE
State	:	CA
Zip	:	91020-1858
Country	:	US
Telephone Number	:	626-344-0099
Fax Number	:

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

Provider Enumeration Date	:	03/07/2017
Last Update Date	:	03/28/2017

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