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Individual

MR. JONATHAN ISAAC AUSTIN KRAUSS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPT

Contact information

Practice address
17250 VAILETTI DR, SONOMA, CA 95476-3328
(707) 989-7245
Mailing address
17250 VAILETTI DR, SONOMA, CA 95476-3328
(951) 842-1867

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36048
CA

Other

Enumeration date
08/16/2025
Last updated
08/16/2025
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