MEDICARE: MR. CRAIG MITCHELL RANSBURG MSW, LCSW

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	34004047A	IN

General Provider Information

NPI Number	:	1457320863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CRAIG MITCHELL RANSBURG MSW, LCSW

Provider Business Mailing Address
First Line	:	812 WINTER CT
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-5213
Country	:	US
Telephone Number	:	317-566-8423
Fax Number	:

Provider Business Practice Location Address
First Line	:	8404 SIEAR TER
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-7201
Country	:	US
Telephone Number	:	317-887-7033
Fax Number	:

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	05/05/2010

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