Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor |
NPI | 1003121831 |
---|---|
Provider Name | Brittney A Craig |
First Address | Puyallup, WA 98371-8644 |
Second Address | Puyallup, WA 98371-8644 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2010 |
Last Update Date | 08/09/2021 |