Doctor Name: | MS. JUDY R CRAIN |
NPI Number: | 1023324522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LADC, CMIII |
License Number: | 401 |
Business Practice Address: | 909 Alameda St Norman, OK - 730715229 |
Business Phone Number: | 4055733921 |
Business Fax Number: | |
Mailing Address: | 909 Alameda St, NORMAN |
State: | OK |
Postal Code: | 730715229 |
Phone Number: | 4055733921 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2010 |
NPI Last Update Date: | 11/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |