# KRBR CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407393416
- **Authorized official:** MISS KRISTEN LOUISE ROUTH LMFT (LMFT)
- **Authorized official phone:** (805) 657-5520

## Contact information

- **Practice address:** 31822 VILLAGE CENTER RD, SUITE 102, WESTLAKE VILLAGE, CA 91361-4316
- **Practice address phone:** (805) 657-5520
- **Practice address fax:** (805) 309-5204
- **Mailing address:** PO BOX 19328, NEWBURY PARK, CA 91319-9328
- **Mailing address phone:** (805) 657-5520
- **Mailing address fax:** (805) 309-5204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 52149 | CA | Yes |

## Other

- **Enumeration date:** 01/27/2017
- **Last updated:** 01/27/2017