| Doctor Name: | JANET MCCRACKEN |
| NPI Number: | 1104954650 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 4681020 |
| Business Practice Address: | 507 Main St Jacksboro, TN - 377572967 |
| Business Phone Number: | 4235621156 |
| Business Fax Number: | 4235665106 |
| Mailing Address: | 2315 Jacksboro Pike, LA FOLLETTE |
| State: | TN |
| Postal Code: | 377662906 |
| Phone Number: | 4235624190 |
| Fax Number: | 4235663718 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4681020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |