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NPI Code Detail

MEDICARE: DEBRA KRAUS

MEDICARE: DEBRA KRAUS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH13279FL

General Provider Information

NPI Number : 1033503917
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA KRAUS
Provider Business Mailing Address
First Line : 7221 16TH CT NE
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33702-4605
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 275 4TH ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33701-3205
Country : US
Telephone Number : 727-458-1080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2015
Last Update Date : 03/27/2015

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Directions to “ DEBRA KRAUS ” Practice Location

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