MEDICARE: GLORIA CRAIG-DENSON LPC

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
1	101YP2500X	Professional Counselor	2827	AL

General Provider Information

NPI Number	:	1073997185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA CRAIG-DENSON LPC

Provider Business Mailing Address
First Line	:	85 BAGBY DR STE 355
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-3735
Country	:	US
Telephone Number	:	256-282-9675
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 BAGBY DR STE 355
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-3735
Country	:	US
Telephone Number	:	256-282-9675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2015
Last Update Date	:	07/17/2015

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Directions to “ GLORIA CRAIG-DENSON LPC” Practice Location

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