Provider Demographics
NPI:1942900675
Name:KRAMER FAMILY THERAPY, INC
Entity Type:Organization
Organization Name:KRAMER FAMILY THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:657-229-0059
Mailing Address - Street 1:2900 BRISTOL ST STE C208
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-5946
Mailing Address - Country:US
Mailing Address - Phone:657-229-0059
Mailing Address - Fax:
Practice Address - Street 1:2900 BRISTOL ST STE C208
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-5946
Practice Address - Country:US
Practice Address - Phone:657-229-0059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty