Organization
ST. RAPHAEL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH FRANCIS CRAMER M.A, NCC (CEO)
(970) 310-5132
Entity
Organization
Contact information
Practice address
1115 GRANT ST, SUITE 305, DENVER, CO 80203-2369
(720) 675-7796
Mailing address
1115 GRANT ST, SUITE 305, DENVER, CO 80203-2369
(720) 675-7796
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3752
CO
103TB0200X
Cognitive & Behavioral Psychologist
3752
CO
103TC0700X
Clinical Psychologist
Primary
3752
CO
103TC1900X
Counseling Psychologist
3752
CO
103TC2200X
Clinical Child & Adolescent Psychologist
3752
CO
103TF0000X
Family Psychologist
3752
CO
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3752
CO
103TP2701X
Group Psychotherapy Psychologist
3752
CO
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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