MEDICARE: MERADITH CRAMER MS, LMHC

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
1	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	LH61351600	WA

General Provider Information

NPI Number	:	1912553694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERADITH CRAMER MS, LMHC

Provider Business Mailing Address
First Line	:	1112 COLLINS RD
Second Line	:
City	:	SELAH
State	:	WA
Zip	:	98942-8916
Country	:	US
Telephone Number	:	253-286-9213
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 E YAKIMA AVE
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98901-5407
Country	:	US
Telephone Number	:	509-731-4760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2019
Last Update Date	:	03/14/2023

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