Individual provider · Type 1 NPI

Lincoln Dean Krog

Mental Health Counselor · Fullerton, CA

NPI number 1528901048 Active

Practice location

1400 W Fern Dr
Fullerton, CA 92833-2331

Call (714) 447-7710 Map

Mailing address

731 E Lavender Way
Azusa, CA 91702-6294

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X22117 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1528901048

Lincoln Dean Krog's National Provider Identifier is 1528901048, issued on Apr 10, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fullerton, CA. The record was last updated on Apr 10, 2026.