Individual
MISS INGRID JEAN KRECKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2821 BROOKSIDE CT, AUGUSTA, KS 67010-2433
(316) 425-0073
(316) 260-7909
Mailing address
2821 BROOKSIDE CT, AUGUSTA, KS 67010-2433
(316) 425-0073
(316) 260-7909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2790
KS
Other
Enumeration date
09/03/2014
Last updated
07/21/2022
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