Individual
LAURA MARIE KRACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LIMITED LICENSE
Contact information
Practice address
122 W SOUTH ST, KALAMAZOO, MI 49007-4711
(269) 349-4219
(269) 349-5107
Mailing address
122 W SOUTH ST, KALAMAZOO, MI 49007-4711
(269) 349-4219
(269) 349-5107
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301011342
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301011342
LIMITED LICENSE PSYCHOLOG
MI
Enumeration date
04/11/2007
Last updated
07/08/2007
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