Doctor Name: | JESSICCA N CRANMER |
NPI Number: | 1740618834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., LPCA |
License Number: | |
Business Practice Address: | 100 Gray St Elizabethtown, KY - 427012608 |
Business Phone Number: | 2703604719 |
Business Fax Number: | |
Mailing Address: | 387 Park Ave, RADCLIFF |
State: | KY |
Postal Code: | 401601367 |
Phone Number: | 2708017233 |
Fax Number: | 2703523467 |
NPI Enumeration Date: | 10/29/2013 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |