Healthcare Provider Details

I. General information

NPI: 1306056031
Provider Name (Legal Business Name): NANCY C CRAFTS COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 02/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 S MAIN ST
CAPE MAY COURT HOUSE NJ
08210-2240
US

IV. Provider business mailing address

223 S MAIN ST
CAPE MAY COURT HOUSE NJ
08210-2240
US

V. Phone/Fax

Practice location:
  • Phone: 609-465-7788
  • Fax: 609-465-2005
Mailing address:
  • Phone: 609-465-7788
  • Fax: 609-465-2005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC00521400
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: NANCY C CRAFTS
Title or Position: DIRECTOR
Credential: LCSW
Phone: 609-465-7788