Individual
CHARLES BRADLEY CRAYTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MERRY LN, EUGENE, OR 97404-2624
(541) 683-1445
Mailing address
PO BOX 5195, EUGENE, OR 97405-0195
(541) 683-1445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
11/01/2010
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