Doctor Name: | ERIC KRAWCZYK |
NPI Number: | 1255721494 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 9076 |
Business Practice Address: | 401 Stockbridge Rd Great Barrington, MA - 012301972 |
Business Phone Number: | 4135919355 |
Business Fax Number: | 4134294342 |
Mailing Address: | Po Box 64, SOUTH LEE |
State: | MA |
Postal Code: | 012600064 |
Phone Number: | 4137178474 |
Fax Number: | 4134294342 |
NPI Enumeration Date: | 01/26/2015 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 9076 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |