Individual
AVERY MARIE CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4337 COX RD, GLEN ALLEN, VA 23060-3359
(804) 277-9877
Mailing address
5900 PATTERSON AVE APT 1, RICHMOND, VA 23226-2551
(804) 317-8659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017258
VA
Other
Enumeration date
06/24/2025
Last updated
06/25/2025
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