Provider Demographics
NPI:1346883931
Name:KRAAI, JULIE (LAMFT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:KRAAI
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MAHTOMEDI
Mailing Address - State:MN
Mailing Address - Zip Code:55115-1648
Mailing Address - Country:US
Mailing Address - Phone:651-226-8950
Mailing Address - Fax:
Practice Address - Street 1:1895 COUNTY ROAD E E STE 214
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-4690
Practice Address - Country:US
Practice Address - Phone:651-226-8950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-25
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3914106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist