Provider Demographics
NPI:1366317943
Name:KRAMBULE, ADALEEN (CMHC)
Entity type:Individual
Prefix:
First Name:ADALEEN
Middle Name:
Last Name:KRAMBULE
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3084 S 1000 W
Mailing Address - Street 2:
Mailing Address - City:NIBLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84321-6485
Mailing Address - Country:US
Mailing Address - Phone:435-760-3273
Mailing Address - Fax:
Practice Address - Street 1:3084 S 1000 W
Practice Address - Street 2:
Practice Address - City:NIBLEY
Practice Address - State:UT
Practice Address - Zip Code:84321-6485
Practice Address - Country:US
Practice Address - Phone:435-760-3273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6449885-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health