Individual
CRAIG CLEARWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
Mailing address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC008264
PA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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