Provider Demographics
NPI:1316083249
Name:KREBS, LOUANN M (MED, CAGS)
Entity type:Individual
Prefix:
First Name:LOUANN
Middle Name:M
Last Name:KREBS
Suffix:
Gender:F
Credentials:MED, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 LOCUST ST
Mailing Address - Street 2:UNIT 2O
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-2059
Mailing Address - Country:US
Mailing Address - Phone:413-341-3060
Mailing Address - Fax:
Practice Address - Street 1:425 UNION ST
Practice Address - Street 2:LEVEL D
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4115
Practice Address - Country:US
Practice Address - Phone:413-737-4718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health