Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1255676334 |
---|---|
Provider Name | Gabrielle N Cracraft |
First Address | Henderson, NV 89011-2029 |
Second Address | Las Vegas, NV 89146-5605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2012 |
Last Update Date | 01/07/2013 |