Provider Demographics
NPI:1679917330
Name:KRAWCZYK, ALICIA MICHELLE
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:MICHELLE
Last Name:KRAWCZYK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:MICHELLE
Other - Last Name:MOTTRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:37521 REICH CT
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-6320
Mailing Address - Country:US
Mailing Address - Phone:541-659-3217
Mailing Address - Fax:541-507-6344
Practice Address - Street 1:37521 REICH CT
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-6320
Practice Address - Country:US
Practice Address - Phone:541-659-3217
Practice Address - Fax:541-507-6344
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health