Individual
TANYA L KRAEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CSAC, APSW
Contact information
Practice address
702 W MAIN ST, MADISON, WI 53715-1424
(608) 280-2600
Mailing address
25 KESSEL CT, MADISON, WI 53711-6227
(608) 280-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15673-130
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15706
WI
1041C0700X
Clinical Social Worker
129264
WI
Other
Enumeration date
05/04/2011
Last updated
10/12/2016
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