Provider Demographics
NPI:1174267348
Name:KRAMM, MICHAEL C (MS, CTP, CGP)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:C
Last Name:KRAMM
Suffix:
Gender:M
Credentials:MS, CTP, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3366
Mailing Address - Country:US
Mailing Address - Phone:703-997-6641
Mailing Address - Fax:
Practice Address - Street 1:92 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3365
Practice Address - Country:US
Practice Address - Phone:703-997-6641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704014801101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health