Individual
JAMIE KATHERINE CRISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
206 RALEIGH ST, FUQUAY VARINA, NC 27526-2263
(919) 285-4802
(919) 882-8096
Mailing address
PO BOX 1927, FUQUAY VARINA, NC 27526-2927
(919) 285-4802
(919) 882-8096
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1451
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105334
—
NC
Enumeration date
09/26/2011
Last updated
04/14/2016
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