Healthcare Provider Details

I. General information

NPI: 1255721494
Provider Name (Legal Business Name): ERIC KRAWCZYK LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2015
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4628 MIKE COLALILLO DR
DULUTH MN
55807-2732
US

IV. Provider business mailing address

5140 MORRIS THOMAS RD
HERMANTOWN MN
55810-9718
US

V. Phone/Fax

Practice location:
  • Phone: 218-409-6726
  • Fax:
Mailing address:
  • Phone: 218-409-6726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4946
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: