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

MS. Camille Dora Kruger, IMF79417

Individual provider Marriage & Family Therapist · NPI 1629438858

MS. Camille Dora Kruger, IMF79417 is a Marriage & Family Therapist in Riverside, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

17270 Roosevelt St
Riverside, CA 92508-9523
Phone: (951) 683-6596
Show map & directions

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

Additional practice locations (1)

  • 2180 Valley Blvd, Pomona, CA 91768-3325 — (909) 865-2336

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence IMF79417 (CA)

Record details

NPI number1629438858
Entity typeIndividual (Type 1)
GenderFemale
Credentials IMF79417
Sole proprietorYes
NPI enumeratedMarch 1, 2016
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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