Individual
DR. JACQUELINE KRACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
JAMES H QUILLEN VA MEDICAL CENTER, PSYCHOLOGY SERVICE, MOUNTAIN HOME, TN 37684
(423) 979-4341
Mailing address
JAMES H QUILLEN VA MEDICAL CENTER, P.O. BOX 4000 MAIL STOP 122HB, MOUNTAIN HOME, TN 37684
(423) 979-4341
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2926
TN
Other
Enumeration date
06/07/2008
Last updated
03/14/2010
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