Doctor Name: | ESTHER CRANNEY |
NPI Number: | 1275958613 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | LPC-5484 |
Business Practice Address: | 2311 Park Ave Unit 3 Burley, ID - 833182170 |
Business Phone Number: | 2086783555 |
Business Fax Number: | 2086783556 |
Mailing Address: | Po Box 969, BURLEY |
State: | ID |
Postal Code: | 833180969 |
Phone Number: | 2086783555 |
Fax Number: | 2086783556 |
NPI Enumeration Date: | 02/21/2014 |
NPI Last Update Date: | 02/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC-5484 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |