Individual provider · Type 1 NPI
Craig Vincent Archer
Mental Health Counselor · Ponca City, OK
NPI number
1316595036
Active
Practice location
401 Fairview Ave
Ponca City, OK 74601-1923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1316595036
Craig Vincent Archer's National Provider Identifier is 1316595036, issued on Aug 27, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ponca City, OK. The record was last updated on Aug 27, 2019.