Individual
AMY BETH CRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC I
Contact information
Practice address
1183 MAIN ST, WORCESTER, MA 01603-2012
(508) 986-9480
(508) 796-2273
Mailing address
1183 MAIN ST, WORCESTER, MA 01603-2012
(508) 834-8599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21320
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144769167
—
MA
Enumeration date
12/30/2022
Last updated
12/30/2022
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