Provider Demographics
NPI:1326171836
Name:KROPP, JEFF (LMFT)
Entity Type:Individual
Prefix:MR
First Name:JEFF
Middle Name:
Last Name:KROPP
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 1:30497 CANWOOD ST STE 103
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4330
Mailing Address - Country:US
Mailing Address - Phone:805-583-3976
Mailing Address - Fax:
Practice Address - Street 1:30497 CANWOOD ST STE 103
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4330
Practice Address - Country:US
Practice Address - Phone:805-583-3976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40226106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist