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NPI Code Detail

MEDICARE: MS. ANGELA LEIGH CRAIG M.S.

MEDICARE:  MS. ANGELA LEIGH CRAIG  M.S.
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
1101YP2500XProfessional CounselorLPC006853GA

General Provider Information

NPI Number : 1326388224
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA LEIGH CRAIG M.S.
Provider Business Mailing Address
First Line : 8 PRICE DR E
Second Line :
City : LOCUST GROVE
State : GA
Zip : 30248-2615
Country : US
Telephone Number : 770-853-3352
Fax Number :
Provider Business Practice Location Address
First Line : 8 PRICE DR E
Second Line :
City : LOCUST GROVE
State : GA
Zip : 30248-2615
Country : US
Telephone Number : 770-853-3352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2013
Last Update Date : 03/01/2013

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Directions to “ MS. ANGELA LEIGH CRAIG M.S.” Practice Location

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