Doctor Name: | OPHELIA J CRAIN |
NPI Number: | 1093757734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., LPC |
License Number: | 2802 |
Business Practice Address: | 311 Bennett Center Dr Greer, SC - 296501259 |
Business Phone Number: | 8649689687 |
Business Fax Number: | 8649689449 |
Mailing Address: | 311 Bennett Center Dr, GREER |
State: | SC |
Postal Code: | 296501259 |
Phone Number: | 8649689687 |
Fax Number: | 8649689449 |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |