Individual provider · Type 1 NPI

Frederick Lee Kracke Jr.

Professional Counselor · Birmingham, AL

NPI number 1508124835 Active

Practice location

2204 Lakeshore Dr, Suite 212
Birmingham, AL 35209-6729

Mailing address

3512 Old Leeds Crst
Mountain Brk, AL 35213-3220

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3000 (AL)

Professional Counselor: Definition to come...

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About NPI 1508124835

Frederick Lee Kracke Jr.'s National Provider Identifier is 1508124835, issued on Apr 24, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Birmingham, AL. The record was last updated on Apr 24, 2012.