Doctor Name: | MRS. AUDETTE MARIE CRAIN |
NPI Number: | 1487881199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.LLPC |
License Number: | L1545769 |
Business Practice Address: | 365 Jefferson St Sterling, MI - 486599577 |
Business Phone Number: | 9897512442 |
Business Fax Number: | |
Mailing Address: | 206 Court St N, STANDISH |
State: | MI |
Postal Code: | 486589417 |
Phone Number: | 9897182041 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2009 |
NPI Last Update Date: | 06/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | L1545769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |