Dr. Kracke And Associates P A in Lewiston - Mental Health

Dr. Kracke And Associates P A - NPI 1851448781

Dr. Kracke And Associates P A is a Mental Health in Lewiston, Idaho. Dr. Kracke And Associates P A practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Dr. Kracke And Associates P A is 1851448781. The last update date is 2020-08-22.

Dr. Kracke And Associates P A's current location address is Po Box 2145, Lewiston, Idaho. You can contact this provider via phone number 2087434680 and fax number 2087431756. The mailing address for Dr. Kracke And Associates P A is Po Box 2145, Lewiston, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dr. Kracke And Associates P A
Address Po Box 2145, Lewiston, Idaho
Phone Number 2087434680
Fax Number 2087431756
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kracke R. Kevin
Credentials PH.D.
Telephone Number 2087434680

NPI Number Detail

NPI Number 1851448781
Provider Enumeration Date 2007-01-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 2145
City Lewiston
State Idaho (ID)
Post Code 835011465
Phone Number 2087434680
Fax Number 2087431756

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No PSY189
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
N4478 ID BLUE CROSS OF IDAHO
10015963 ID REGENCE BLUESHIELD OF IDA

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FAQs about Dr. Kracke And Associates P A

What is the unique 10-digit identifier code issued to Dr. Kracke And Associates P A by the Centers for Medicare & Medicaid Services?

The Dr. Kracke And Associates P A has been assigned the NPI (National Provider Identifier) 1851448781 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Dr. Kracke And Associates P A is physically located?

The Dr. Kracke And Associates P A is situated at the following address: Po Box 2145, Lewiston, ID 835011465.

What is Dr. Kracke And Associates P A's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dr. Kracke And Associates P A is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1851448781 to Dr. Kracke And Associates P A?

The Dr. Kracke And Associates P A received its 1851448781 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.

When was the information related to Dr. Kracke And Associates P A most recently updated or refreshed?

The details pertaining to the Dr. Kracke And Associates P A, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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