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NPI 1659042216

NPI 1659042216 : CRAIG DARRAGH LPC : SACATON, AZ

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General NPI Number Information
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    NPI Number           |    1659042216
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    Entity Type          |    Individual 
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    Provider Name        |    CRAIG DARRAGH LPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/23/2021
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    Last Update Date     |    07/17/2025
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Provider Practice Location Address
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    Address Line         |    483 W SEED FARM RD 
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    City                 |    SACATON
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    State                |    AZ
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    Zip                  |    85147-5000
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    Country              |    US
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    Telephone            |    520-562-1200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16025 S 50TH ST APT 2089 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85048-5015
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    Country              |    US
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    Telephone            |    602-516-0776
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    13341
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    178.017400
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    16099
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    License Number State |    AZ
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Taxonomy #4
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    23967
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    License Number State |    AZ
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