Provider Demographics
NPI:1891418273
Name:KRALL, LAUREN JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:JEAN
Last Name:KRALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:17065-2009
Mailing Address - Country:US
Mailing Address - Phone:714-822-9141
Mailing Address - Fax:
Practice Address - Street 1:15 WESTGATE DR
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:17065-2009
Practice Address - Country:US
Practice Address - Phone:714-822-9141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005841101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional