Provider Demographics
NPI:1972856821
Name:MCCRACKEN, SOMMER AMBER (MA, MA, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:SOMMER
Middle Name:AMBER
Last Name:MCCRACKEN
Suffix:
Gender:F
Credentials:MA, MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9070 CHANCERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RURAL HALL
Mailing Address - State:NC
Mailing Address - Zip Code:27045-9438
Mailing Address - Country:US
Mailing Address - Phone:336-409-5272
Mailing Address - Fax:336-374-3233
Practice Address - Street 1:9070 CHANCERWOOD DR
Practice Address - Street 2:
Practice Address - City:RURAL HALL
Practice Address - State:NC
Practice Address - Zip Code:27045-9438
Practice Address - Country:US
Practice Address - Phone:336-409-5272
Practice Address - Fax:336-374-3233
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8456101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional