Doctor Name: | LINDA G CRAFT |
NPI Number: | 1033547492 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | E.0003206-SUPV |
Business Practice Address: | 7185 Liberty Centre Dr Suite D Liberty Township, OH - 450696586 |
Business Phone Number: | 5135049310 |
Business Fax Number: | 5138476365 |
Mailing Address: | 25101 Chagrin Blvd, Suite 100 BEACHWOOD |
State: | OH |
Postal Code: | 441225643 |
Phone Number: | 2168316611 |
Fax Number: | 2164568128 |
NPI Enumeration Date: | 10/23/2013 |
NPI Last Update Date: | 03/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E.0003206-SUPV |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |