Provider Demographics
NPI:1932711835
Name:KROEKER, CARA K (LIMHP, LPC)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:K
Last Name:KROEKER
Suffix:
Gender:F
Credentials:LIMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 MEADOW LN APT 7
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-3020
Mailing Address - Country:US
Mailing Address - Phone:402-366-5155
Mailing Address - Fax:
Practice Address - Street 1:2055 MEADOW LN APT 7
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-3020
Practice Address - Country:US
Practice Address - Phone:402-366-5155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1916101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional