Presley Angelica Kennedy Lee Krutiak
Counselor, Mental Health in Grass Valley, CA. Individual provider (NPI-1).
NPI number1669958971
StatusActive
Last updated in NPPESJul 19, 2018
Details
- NPI
- 1669958971
- Entity type
- Individual (NPI-1)
- Name
- Presley Angelica Kennedy Lee Krutiak
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2018
- Last updated
- Jul 19, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
714 W Main StGrass Valley, CA 95945-6410
Phone 530-477-9800 · Fax 530-477-9803
Mailing address
714 W Main StGrass Valley, CA 95945-6410
Phone 530-477-9800 · Fax 530-477-9803
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 156 Mental Health Counselor providers in Grass Valley · All 2,088 providers in Grass Valley
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