Elisabeth Krause | |
65 N, Granier Ave Atlantic City WY 82520 | |
(307) 462-9597 | |
Not Available |
Full Name | Elisabeth Krause |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 65 N, Granier Ave, Atlantic City, Wyoming |
Authorized Official Name and Position | Elizabeth P Krause (MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 3074629597 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elisabeth Krause 65 N, Granier Ave Atlantic City WY 82520 Ph: (307) 462-9597 | Elisabeth Krause 65 N, Granier Ave Atlantic City WY 82520 Ph: (307) 462-9597 |
NPI Number | 1346792298 |
---|---|
Provider Enumeration Date | 10/26/2016 |
Last Update Date | 10/26/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346792298 | NPI | - | NPPES |
142138700 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LPC-1217 (Wyoming) | Primary |
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