Provider Demographics
NPI:1275996720
Name:KRAUS, ANDREAS (LMFT)
Entity Type:Individual
Prefix:
First Name:ANDREAS
Middle Name:
Last Name:KRAUS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 PLAZA DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-4791
Mailing Address - Country:US
Mailing Address - Phone:916-397-3093
Mailing Address - Fax:
Practice Address - Street 1:520 PLAZA DR
Practice Address - Street 2:SUITE 140
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-4791
Practice Address - Country:US
Practice Address - Phone:916-397-3093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT90126101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health