Provider Demographics
NPI:1679349930
Name:KRATZ, DANIEL (LPC, CMPC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:KRATZ
Suffix:
Gender:M
Credentials:LPC, CMPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3215 PERIDOT AVE APT 317
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-1213
Mailing Address - Country:US
Mailing Address - Phone:262-408-8351
Mailing Address - Fax:
Practice Address - Street 1:3215 PERIDOT AVE APT 317
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-1213
Practice Address - Country:US
Practice Address - Phone:262-408-8351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87277101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional