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Contact Information

DOUGLAS E CRADDOCK, LMHC, LPCC
25400 US 19 N
SUITE 107
CLEARWATER, FL33763-2149
 Phone: 727-791-8714
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for DOUGLAS E CRADDOCK · (Male)

NPI # 1174763783
Status Active
Credentials LMHC, LPCC
Entity Individual
Enumeration date 02/23/2009
Last updated 07/13/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # MH10055
  • OH License # E-2588
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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