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NPI Code Detail

MEDICARE: MRS. CASI LYNNE KRALL M.S., L.C.P.C.

MEDICARE: MRS. CASI LYNNE KRALL M.S., L.C.P.C.
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
1101Y00000XCounselor1800008045IL
2101YM0800XMental Health Counselor180008045IL
3101YP2500XProfessional CounselorIL

General Provider Information

NPI Number : 1679848279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CASI LYNNE KRALL M.S., L.C.P.C.
Provider Business Mailing Address
First Line : 319 CEDAR CT APT 6
Second Line :
City : DEKALB
State : IL
Zip : 60115-8987
Country : US
Telephone Number : 815-514-0768
Fax Number :
Provider Business Practice Location Address
First Line : 1639 N ALPINE RD STE 260
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-1481
Country : US
Telephone Number : 815-514-0768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2012
Last Update Date : 06/19/2025

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