Doctor Name: | DIANE CRAFT |
NPI Number: | 1548368285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LPC |
License Number: | |
Business Practice Address: | 244 Washington St Monument, CO - 801329173 |
Business Phone Number: | 7194407486 |
Business Fax Number: | 7196342563 |
Mailing Address: | Po Box 1612, MONUMENT |
State: | CO |
Postal Code: | 801321612 |
Phone Number: | 7194407486 |
Fax Number: | 7196342563 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |