Provider Demographics
NPI:1679602460
Name:KREMER, RACHEL YVONNE LUND (LICSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:YVONNE LUND
Last Name:KREMER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5786 HENDRICKSON RD
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55804-8637
Mailing Address - Country:US
Mailing Address - Phone:612-822-4539
Mailing Address - Fax:651-635-0454
Practice Address - Street 1:5786 HENDRICKSON RD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55804-8637
Practice Address - Country:US
Practice Address - Phone:218-606-0540
Practice Address - Fax:855-384-1883
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN128211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical