Doctor Name: | ANNELIESE KRAIGER |
NPI Number: | 1285075457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LH00009751 |
Business Practice Address: | 205 8th St Hoquiam, WA - 985502507 |
Business Phone Number: | 3605389215 |
Business Fax Number: | 3605328786 |
Mailing Address: | 205 8th St, HOQUIAM |
State: | WA |
Postal Code: | 985502507 |
Phone Number: | 3605389215 |
Fax Number: | 3605328786 |
NPI Enumeration Date: | 07/16/2013 |
NPI Last Update Date: | 07/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00009751 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |