Individual
MS. COURTNEY FRACK
Active
Individual
MS. COURTNEY FRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMLP, LMAC
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
LMAC01093
KS
103TC0700X
Clinical Psychologist
Primary
LMLP2692
KS
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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