Individual provider · Type 1 NPI

Jerry Craft

Addiction (Substance Use Disorder) Counselor · Portsmouth, OH

NPI number 1891320727 Active

Practice location

1616 Grant St
Portsmouth, OH 45662-3663

Fax (740) 901-0417

Mailing address

529 Glenwood Ave
New Boston, OH 45662-5504

Other practice locations

  • 14572 US Highway 23, Waverly, OH 45690-9373 · (740) 947-6727

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.174908 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1891320727

Jerry Craft's National Provider Identifier is 1891320727, issued on Mar 11, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portsmouth, OH. The record was last updated on Oct 26, 2021.