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NPI Code Detail

MEDICARE: COURTNEY JUDITH CRAVEN LCMHC

MEDICARE:   COURTNEY JUDITH CRAVEN  LCMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor16663NC

General Provider Information

NPI Number : 1912570508
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY JUDITH CRAVEN LCMHC
Provider Business Mailing Address
First Line : 5309 MONROE RD STE 110
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-7829
Country : US
Telephone Number : 704-774-5284
Fax Number :
Provider Business Practice Location Address
First Line : 5309 MONROE RD STE 110
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-7829
Country : US
Telephone Number : 704-774-5284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2021
Last Update Date : 04/08/2026

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Directions to “ COURTNEY JUDITH CRAVEN LCMHC” Practice Location

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