MEDICARE: ARTHUR KRAAMWINKEL LMHC, LADC1

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	13081	MA
2	101YM0800X	Mental Health Counselor	9462	MA

General Provider Information

NPI Number	:	1588917678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR KRAAMWINKEL LMHC, LADC1

Provider Business Mailing Address
First Line	:	2 MOORE AVE
Second Line	:
City	:	CHATHAM
State	:	NY
Zip	:	12037-1414
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	491 MAIN ST
Second Line	:
City	:	GREAT BARRINGTON
State	:	MA
Zip	:	01230-1856
Country	:	US
Telephone Number	:	413-770-2260
Fax Number	:	518-392-0252

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

Provider Enumeration Date	:	10/26/2012
Last Update Date	:	12/26/2015

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