Provider Demographics
NPI:1427756709
Name:EGGERS, KATHERINE MCCRAE
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MCCRAE
Last Name:EGGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 SILVER QUEEN S UNIT 103B
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-9432
Mailing Address - Country:US
Mailing Address - Phone:360-280-1567
Mailing Address - Fax:
Practice Address - Street 1:2 WOODLAND CIR
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4154
Practice Address - Country:US
Practice Address - Phone:970-799-0765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health