Doctor Name: | KATHY CRAYMER |
NPI Number: | 1144458613 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 6401011404 |
Business Practice Address: | 116 W Colby St Whitehall, MI - 494611083 |
Business Phone Number: | 2318938336 |
Business Fax Number: | 2318938336 |
Mailing Address: | 116 W Colby St, WHITEHALL |
State: | MI |
Postal Code: | 494611083 |
Phone Number: | 2318938336 |
Fax Number: | 2318938336 |
NPI Enumeration Date: | 06/23/2009 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6401011404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |