Dr. Kracke and Associates P a

NPI #1851448781 in Lewiston, Idaho

Provider Information

NPI Number: 1851448781
Entity Type: Organization
Organization Name: Dr. Kracke and Associates P a
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 422 17TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2526
Phone: (208) 743-4680

Authorized Official

Name: DR. KEVIN R. KRACKE, PH.D.
Title: PRESIDENT
Phone: (208) 743-4680

Specialties & Taxonomy Codes

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

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