Doctor Name: | MR. CRAIG JAY RICH |
NPI Number: | 1245486174 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 44SC04335300 |
Business Practice Address: | 2914 Poyner Dr Phenix City, AL - 368702835 |
Business Phone Number: | 6062070965 |
Business Fax Number: | |
Mailing Address: | 2914 Poyner Dr, PHENIX CITY |
State: | AL |
Postal Code: | 368702835 |
Phone Number: | 6062070965 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2008 |
NPI Last Update Date: | 03/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC04335300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |