Individual provider · Type 1 NPI

Gwen Cracroft

Mental Health Counselor · Pocatello, ID

NPI number 1457644403 Active

Practice location

2055 Garrett Way, Ste 1
Pocatello, ID 83201-5100

Call (208) 233-7832 Map

Mailing address

PO Box 4908
Pocatello, ID 83205-4908

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457644403

Gwen Cracroft's National Provider Identifier is 1457644403, issued on May 24, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on May 24, 2011.