MR. Jefferson H Kraczek, LCSW

NPI #1093087033 in Mackay, Idaho

Provider Information

NPI Number: 1093087033
Entity Type: Individual
Name: MR. Jefferson H Kraczek, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCSW
Enumeration Date: Feb 7, 2012
Last Updated: Jun 21, 2021

Practice Location

Address: 4433 BEVERLAND ROAD
City: Mackay
State: Idaho
ZIP Code: 83251-8048
Phone: (208) 588-2770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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