Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kris Eterea

Individual provider Mental Health Counselor · NPI 1437714821

Kris Eterea is a Mental Health Counselor in Culver City, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
4

Practice location Address checks out

4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone: (310) 390-6612
Fax: (310) 398-5690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 106741 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 89873 (CA)
Social Worker Taxonomy 104100000X · Licence 89873 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1437714821
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022

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