Provider Demographics
NPI:1700367042
Name:KRAUS, BRYAN PAUL (LCSW)
Entity type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:PAUL
Last Name:KRAUS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6464
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95502-6464
Mailing Address - Country:US
Mailing Address - Phone:530-784-3074
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 6464
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95502-6464
Practice Address - Country:US
Practice Address - Phone:530-784-3074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1293481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical