Doctor Name: | MS. ANGELA LEIGH CRAIG |
NPI Number: | 1326388224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | LPC006853 |
Business Practice Address: | 8 Price Dr E Locust Grove, GA - 302482615 |
Business Phone Number: | 7708533352 |
Business Fax Number: | |
Mailing Address: | 8 Price Dr E, LOCUST GROVE |
State: | GA |
Postal Code: | 302482615 |
Phone Number: | 7708533352 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2013 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC006853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |