person
Mr. Jefferson H Kraczek, LCSW
Mental Health Counselor in Mackay, Idaho
NPI 1093087033

Jefferson H Kraczek is a Mental Health Counselor based in Mackay, ID and is specialized in Mental Health. Jefferson H Kraczek practices in Mackay, ID and has the professional credentials of LCSW. The NPI Number for Jefferson H Kraczek is 1093087033 and holds a License No. LCSW27821 (Idaho).

The current practice location address for Jefferson H Kraczek is 4433 Beverland Road, Mackay, ID and can be reached out via phone at 208-588-2770 and via fax at 208-588-2984.

Location: 4433 Beverland Road, Mackay, ID, 83251-0402
person
Provider Profile Details
NPI Number
1093087033
Provider Name
Jefferson H Kraczek
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
4433 Beverland Road, Mackay, ID, 83251-0402
Phone Number
208-588-2770
Fax Number
208-588-2984
Provider Enumeration Date
02/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4433 Beverland Road
City
State
Zip
83251-8048
Phone Number
208-588-2770
Fax Number
208-588-2984
person
Provider Business Mailing Address Details
Address
4433 Beverland Road
City
State
Zip
83251-8048
Phone Number
208-588-2770
Fax Number
208-588-2984
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCSW27821 (Idaho)
Definition
Definition to come...
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