Provider Demographics
NPI:1588701247
Name:KRAMER, LEILA RUTH (MS MFCC LMFT)
Entity type:Individual
Prefix:MRS
First Name:LEILA
Middle Name:RUTH
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MS MFCC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4402 125TH ST CT NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-7858
Mailing Address - Country:US
Mailing Address - Phone:253-858-2171
Mailing Address - Fax:253-858-8717
Practice Address - Street 1:6212 SEVENTY FIFTH STREET WEST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:99499-8368
Practice Address - Country:US
Practice Address - Phone:253-983-8507
Practice Address - Fax:253-983-8576
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist