Individual
MR. FREDERICK LEE KRACKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2204 LAKESHORE DR, SUITE 212, BIRMINGHAM, AL 35209-6729
(205) 879-7500
Mailing address
3512 OLD LEEDS CRST, MOUNTAIN BRK, AL 35213-3220
(205) 879-2166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3000
AL
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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