Provider Demographics
NPI:1972647162
Name:GRGAS, KARLA CRISTINA (MA, MFT)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:CRISTINA
Last Name:GRGAS
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 1:28100 BOUQUET CANYON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2006
Mailing Address - Country:US
Mailing Address - Phone:661-714-8609
Mailing Address - Fax:
Practice Address - Street 1:27201 TOURNEY RD STE 110
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-1857
Practice Address - Country:US
Practice Address - Phone:661-222-2180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 51203106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA106H00000XOtherMARRIAGE &FAMILY THERAPIS