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Individual
MR. CRAIG W. FALL
Active
Individual
MR. CRAIG W. FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
34001038A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358512
ANTHEM
IN
Enumeration date
04/25/2007
Last updated
09/11/2025
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