MR. Jefferson H Kraczek, LCSW is a mental health counselor in Mackay, ID with 29 years of experience. MR. Jefferson H Kraczek, LCSW NPI is 1093087033. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4433 BEVERLAND ROAD
MACKAY, ID
ZIP 83251-048
Phone: (208) 588-2770
Fax: (208) 588-2984
The NPI 1093087033 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 2/7/2012 and was last updated on 6/21/2021.