Individual
MARSHA L KRAVETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
1006 DEPOT HILL RD STE D, BROOMFIELD, CO 80020-6741
(970) 368-3282
Mailing address
1006 DEPOT HILL RD STE D, BROOMFIELD, CO 80020-6741
(970) 368-3282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5250
CO
106H00000X
Marriage & Family Therapist
4188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G981
BCBSTX GRP PIN
TX
05
—
028547001
—
TX
01
—
10027416
AMERIGROUP PIN
TX
01
—
124221
SUPERIOR PIN
TX
01
—
1336198894
GRP NPI NUMBER
—
01
—
2219619
FIRSTHEALTH PIN
TX
01
—
223453
PHCS PIN
TX
01
—
75205167613
PBH PIN
TX
01
—
83360L
BCBSTX IND PIN
TX
Enumeration date
11/01/2006
Last updated
07/21/2022
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