Doctor Name: | MS. SUSAN B. KRAYER |
NPI Number: | 1063741791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3174 |
Business Practice Address: | 97829 Shopping Center Ave Harbor, OR - 974159135 |
Business Phone Number: | 5417352126 |
Business Fax Number: | 5417363882 |
Mailing Address: | Po Box 7593, BROOKINGS |
State: | OR |
Postal Code: | 974150347 |
Phone Number: | 5417363882 |
Fax Number: | 5417363882 |
NPI Enumeration Date: | 12/08/2009 |
NPI Last Update Date: | 03/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |