Healthcare Provider Details

I. General information

NPI: 1386007995
Provider Name (Legal Business Name): ABAGAIL KRAVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3343 CENTER GROVE DR STE 3
DUBUQUE IA
52003-5264
US

IV. Provider business mailing address

3343 CENTER GROVE DR STE 3
DUBUQUE IA
52003-5264
US

V. Phone/Fax

Practice location:
  • Phone: 608-348-5088
  • Fax: 608-348-3302
Mailing address:
  • Phone: 608-348-5088
  • Fax: 608-348-3302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number132151
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number132151
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: