Provider Demographics
NPI:1265892178
Name:KRAMER-SMITH, ERICA (MA)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:KRAMER-SMITH
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 1:701 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:FRACKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17931-1672
Mailing Address - Country:US
Mailing Address - Phone:570-808-3574
Mailing Address - Fax:
Practice Address - Street 1:529 TERRY REILEY WAY STE 101
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-1775
Practice Address - Country:US
Practice Address - Phone:570-624-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-04
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)