Mrs Dana Rae Krakow, LPC | |
996 N Purcell Blvd, Pueblo West, CO 81007-1188 | |
(719) 369-5189 | |
Not Available |
Full Name | Mrs Dana Rae Krakow |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 996 N Purcell Blvd, Pueblo West, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801023619 | NPI | - | NPPES |
9000200026 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 005971 (Colorado) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Mrs Dana Rae Krakow, LPC 996 N Purcell Blvd, Pueblo West, CO 81007-1188 Ph: (719) 406-7580 | Mrs Dana Rae Krakow, LPC 996 N Purcell Blvd, Pueblo West, CO 81007-1188 Ph: (719) 369-5189 |
Daniel Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 352 E Walton Dr, Pueblo West, CO 81007 Phone: 719-924-4844 | |
Mrs. Valerie L Saisi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 W Pin High Dr, Pueblo West, CO 81007 Phone: 719-320-4362 | |
Amanda Mcbeain, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 E Abarr Dr, Pueblo West, CO 81007 Phone: 435-817-0155 | |
Charles Harry Wingfield, LCSW CACIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Spaulding Ave, Ste 4, Pueblo West, CO 81007 Phone: 719-564-9039 Fax: 719-561-8752 | |
Julia Mariah Vargas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 E Abarr Dr, Pueblo West, CO 81007 Phone: 435-817-0155 | |
Thomas Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 W De La Vista Ct, Pueblo West, CO 81007 Phone: 719-499-3883 | |
Ms. Jessica Bollman, MS, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 821 S Blakeland Dr, Pueblo West, CO 81007 Phone: 719-244-6657 |