institution
Dr. Kracke And Associates P A
Mental Health Counselor in Lewiston, Idaho
NPI 1851448781

Dr. Kracke And Associates P A is a Mental Health Counselor based in Lewiston, ID and is specialized in Mental Health. Dr. Kracke And Associates P A practices in Lewiston, ID. The NPI Number for Dr. Kracke And Associates P A is 1851448781 and holds a License No. PSY189 (Idaho).

The current practice location address for Dr. Kracke And Associates P A is 422 17Th St, Lewiston, ID and can be reached out via phone at 208-743-4680 and via fax at 208-743-1756.

Location: 422 17Th St, Lewiston, ID, 83501-1465
institution
Provider Profile Details
NPI Number
1851448781
Provider Name
Dr. Kracke And Associates P A
Credential
Provider Entity Type
Organization
Address
422 17Th St, Lewiston, ID, 83501-1465
Phone Number
208-743-4680
Fax Number
208-743-1756
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N4478 01 ID BLUE CROSS OF IDAHO
000010015963 01 ID REGENCE BLUESHIELD OF IDA
institution
Provider Business Practice Location Address Details
Address
422 17Th St
City
State
Zip
83501-2526
Phone Number
208-743-4680
Fax Number
208-743-1756
person
Provider Business Mailing Address Details
Address
422 17Th St
City
State
Zip
83501-2526
Phone Number
208-743-4680
Fax Number
208-743-1756
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PSY189 (Idaho)
Definition
Definition to come...
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