Doctor Name: | DANIEL CRAIG |
NPI Number: | 1013066166 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, SAP |
License Number: | LCS 11864 |
Business Practice Address: | 1025 N Douty St Hanford, CA - 932303722 |
Business Phone Number: | 5595370246 |
Business Fax Number: | 5595892309 |
Mailing Address: | 1479 W Lacey Blvd, HANFORD |
State: | CA |
Postal Code: | 932305906 |
Phone Number: | 5595834617 |
Fax Number: | 5595834625 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 11864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |