Doctor Name: | DOUG MCCRACKEN |
NPI Number: | 1629106125 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 9560 Linton Hall Rd Bristow, VA - 201361218 |
Business Phone Number: | 8003052089 |
Business Fax Number: | 4105690094 |
Mailing Address: | 2227 Old Emmorton Road, Suite 119 BEL AIR |
State: | MD |
Postal Code: | 21015 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |