Provider Demographics
NPI:1487126587
Name:CRAMNER, KELLY ANN (LPC)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:ANN
Last Name:CRAMNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 PEMBROKE DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-2436
Mailing Address - Country:US
Mailing Address - Phone:610-223-6608
Mailing Address - Fax:
Practice Address - Street 1:1287 COUNTY WELFARE RD
Practice Address - Street 2:
Practice Address - City:LEESPORT
Practice Address - State:PA
Practice Address - Zip Code:19533-9197
Practice Address - Country:US
Practice Address - Phone:610-208-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-30
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010974101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional