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Individual
TESS J KRAKOFF
Active
Individual
TESS J KRAKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I/CSWA/QMHP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17-08-11
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
2014-000110
NJ
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
44SL06094000
NJ
1041C0700X
Clinical Social Worker
Primary
A4300
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500720990
—
OR
05
—
500725818
—
OR
Enumeration date
09/11/2015
Last updated
08/16/2019
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