MEDICARE: MRS. MICHELLE JOLENE KRIEGE MFT, LVN

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	161785	CA
2	164X00000X	Licensed Vocational Nurse	283486	CA

General Provider Information

NPI Number	:	1871445361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE JOLENE KRIEGE MFT, LVN

Provider Business Mailing Address
First Line	:	9036 MISSION BLVD UNIT 364
Second Line	:
City	:	JURUPA VALLEY
State	:	CA
Zip	:	92509-2816
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3576 ARLINGTON AVE STE 200
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3945
Country	:	US
Telephone Number	:	951-836-0419
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/21/2026

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