Individual provider · Type 1 NPI

Douglas Edward Craddock, LMHC, LPCC

Professional Counselor · Clearwater, FL

NPI number 1174763783 Active

Practice location

25400 US 19 N, Suite 107
Clearwater, FL 33763-2149

Call (727) 791-8714 Map

Mailing address

25400 US Highway 19 N, Suite 107
Clearwater, FL 33763-2149

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMH10055 (FL)
Professional Counselor Primary 101YP2500XE-2588 (OH)

Professional Counselor: Definition to come...

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About NPI 1174763783

Douglas Edward Craddock, LMHC, LPCC's National Provider Identifier is 1174763783, issued on Feb 23, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clearwater, FL. The record was last updated on Jul 13, 2011.