| Clare Kramer Llc | |
|
336 Manhattan Ave Daytona Beach FL 32118-3522 | |
| (407) 516-1278 | |
| Not Available |
| Full Name | Clare Kramer Llc |
|---|---|
| Speciality | Counselor |
| Location | 336 Manhattan Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | Wanda Clare Kramer (COUNSELOR) |
| Authorized Official Contact | 4075161278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clare Kramer Llc 336 Manhattan Ave Daytona Beach FL 32118-3522 Ph: (407) 516-1278 | Clare Kramer Llc 336 Manhattan Ave Daytona Beach FL 32118-3522 Ph: (407) 516-1278 |
| NPI Number | 1124670997 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 7315390846 |
|---|---|
| Medicare Enrollment ID | O20240131002122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124670997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Wanda Clare Kramer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396117560 PECOS PAC ID: 4183077613 Enrollment ID: I20240131001995 |
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