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General NPI Number Information
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NPI Number | 1275007007
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Entity Type | Organization
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Legal Business Name | CRAFTON BRIEF THERAPY LLC
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 1604 WESTGATE CIRCLE SUITE 240
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City | BRENTWOOD
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State | TN
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Zip | 37027
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Country | US
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Telephone | 615-747-6878
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1071
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City | SPRING HILL
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State | TN
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Zip | 37174-1071
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Country | US
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Telephone | 615-747-6878
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. WESTON LANCE CRAFTON
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Credential | LMFT
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Telephone | 615-747-6878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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