Individual provider · Type 1 NPI

Eric Andrew Krog, M.A., L.M.H.C.

Mental Health Counselor · Fitchburg, MA

NPI number 1275698920 Active

Practice location

155 Airport Rd
Fitchburg, MA 01420-8142

Mailing address

148 Holden St
Holden, MA 01520-1738

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4957 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1275698920

Eric Andrew Krog, M.A., L.M.H.C.'s National Provider Identifier is 1275698920, issued on Dec 23, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fitchburg, MA. The record was last updated on Jul 8, 2007.