Organization
ELISABETH KRAUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH P KRAUSE LPC (MENTAL HEALTH COUNSELOR)
(307) 462-9597
Entity
Organization
Contact information
Practice address
65 N, GRANIER AVE, ATLANTIC CITY, WY 82520
(307) 462-9597
Mailing address
65 N, GRANIER AVE, ATLANTIC CITY, WY 82520
(307) 462-9597
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC-1217
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142138700
—
WY
Enumeration date
10/26/2016
Last updated
10/26/2016
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