Individual provider · Type 1 NPI
Michael Marvin Thomas Craddock, M.ED
Professional Counselor · Anaconda, MT
NPI number
1285177410
Active
Practice location
5 N Leslie St
Anaconda, MT 59711-9304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | BBH-LCPC-LIC-19613 (MT) |
Professional Counselor: Definition to come...
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About NPI 1285177410
Michael Marvin Thomas Craddock, M.ED's National Provider Identifier is 1285177410, issued on Nov 20, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Anaconda, MT. The record was last updated on Nov 29, 2016.