Provider Demographics
NPI:1942989306
Name:KRAMM, RACHAEL SHANNON (FT, QMHP-T)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:SHANNON
Last Name:KRAMM
Suffix:
Gender:F
Credentials:FT, QMHP-T
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 STE 201
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:540-390-0002
Practice Address - Street 1:92 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3366
Practice Address - Country:US
Practice Address - Phone:703-997-6641
Practice Address - Fax:540-390-0002
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty