Provider Demographics
NPI:1497068365
Name:CRANOR, KATHRYN H (MA)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:H
Last Name:CRANOR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 FRONT ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1244
Mailing Address - Country:US
Mailing Address - Phone:907-463-4201
Mailing Address - Fax:
Practice Address - Street 1:225 FRONT ST
Practice Address - Street 2:SUITE 202
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1244
Practice Address - Country:US
Practice Address - Phone:907-463-4201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health