Individual ProviderOrah KrugMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5655 College Ave Ste 315e, Oakland, CA 94618-1669(510) 287-9350PECOS EnrollmentBased on the most recent information from CMS, provider Orah Krug does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1154824811Provider TypeIndividualFull NameKrug, OrahCredentialPHD, MFTGenderFemaleSole ProprietorYesEnumeration Date3/8/2018Last Updated3/8/2018Contact InformationPractice LocationPractice Address5655 College Ave Ste 315e, Oakland, CA 94618-1669Phone(510) 287-9350FaxUnlisted FaxMailing LocationMailing Address5655 College Ave Ste 315e, Oakland, CA 94618-1669PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense14056California