Individual
DOUGLAS EARL MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
200 MARKET ST, WARREN, PA 16365-2372
(814) 406-7414
Mailing address
406 CONEWANGO AVE, WARREN, PA 16365-1628
(814) 406-9846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC000655
PA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/20/2024
Last updated
11/21/2024
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