MEDICARE: MICHELLE KRAMER APCC

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	APCC18714	CA
2	106H00000X	Marriage & Family Therapist	AMFT153060	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	APCC18714	OTHER	CA	BBS

General Provider Information

NPI Number	:	1962206649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE KRAMER APCC

Provider Business Mailing Address
First Line	:	PO BOX 85
Second Line	:
City	:	CATHEYS VALLEY
State	:	CA
Zip	:	95306-0085
Country	:	US
Telephone Number	:	559-939-2903
Fax Number	:

Provider Business Practice Location Address
First Line	:	7120 N MARKS AVE STE 110
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-0268
Country	:	US
Telephone Number	:	559-439-5437
Fax Number	:

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

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	12/29/2025

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