| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BETHANY KROFTA | 1417427824 | 2023-05-06 |
Bethany Krofta is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1417427824. Registration indicates Bethany Krofta is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Mrs. Bethany Krofta CSAC |
| Practice Office Address | 23 W SCOTT ST # AT FOND DU LAC, WI US |
| Practice Office Telephone | 9209485771 |
| Mailing Address | 23 W SCOTT ST FOND DU LAC, WI 549352342 US |
| Business Telephone | 9209260101 |
| Code | Practice | License No State |
|---|---|---|
| 101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | 18698-130
WI |