Individual
CRAIG CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
107 OLDE GREENWICH DR, FREDERICKSBURG, VA 22408-4022
(540) 370-6983
(540) 427-7912
Mailing address
107 OLDE GREENWICH DR, FREDERICKSBURG, VA 22408-4022
(540) 370-6983
(540) 427-7912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
0701015725
VA
Other
Enumeration date
09/12/2022
Last updated
06/22/2026
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