Provider Demographics
NPI:1679878631
Name:KRAUS, DENISE C (LPCC)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:C
Last Name:KRAUS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1957 LOS FELIZ DR APT 264
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-5515
Mailing Address - Country:US
Mailing Address - Phone:541-292-1545
Mailing Address - Fax:
Practice Address - Street 1:30300 AGOURA RD
Practice Address - Street 2:
Practice Address - City:AGOURA
Practice Address - State:CA
Practice Address - Zip Code:91301-5400
Practice Address - Country:US
Practice Address - Phone:818-532-7950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4578101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALPCC7941OtherBOARD OF BEHAVIORAL SCIENCES, CALIFORNIA