Provider Demographics
NPI:1295452175
Name:KREYLING, KAERN (MFT)
Entity type:Individual
Prefix:MS
First Name:KAERN
Middle Name:
Last Name:KREYLING
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 LANDERS LN UNIT 3783
Mailing Address - Street 2:
Mailing Address - City:LANDERS
Mailing Address - State:CA
Mailing Address - Zip Code:92285-4232
Mailing Address - Country:US
Mailing Address - Phone:415-710-5166
Mailing Address - Fax:
Practice Address - Street 1:56825 LILAC LN
Practice Address - Street 2:
Practice Address - City:LANDERS
Practice Address - State:CA
Practice Address - Zip Code:92285-1824
Practice Address - Country:US
Practice Address - Phone:415-710-5166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36403106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist