Provider Demographics
NPI:1942523824
Name:KRUEGER-SANTOS, ERIKA MARIE (MA, MFT)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:MARIE
Last Name:KRUEGER-SANTOS
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32129 LINDERO CANYON RD STE 202
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5466
Mailing Address - Country:US
Mailing Address - Phone:805-657-2093
Mailing Address - Fax:
Practice Address - Street 1:32129 LINDERO CANYON RD STE 202
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5466
Practice Address - Country:US
Practice Address - Phone:805-657-2093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 47917106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist