Provider Demographics
NPI:1871176818
Name:KRAUSCH, MARCY (CNA,BA, MFT INTERN)
Entity type:Individual
Prefix:
First Name:MARCY
Middle Name:
Last Name:KRAUSCH
Suffix:
Gender:F
Credentials:CNA,BA, MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 VIENTO DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-5765
Mailing Address - Country:US
Mailing Address - Phone:636-388-5613
Mailing Address - Fax:
Practice Address - Street 1:318 VIENTO DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-5765
Practice Address - Country:US
Practice Address - Phone:636-388-5613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist