Individual
PHYLLIS LOUISE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
737 FAWCETT AVE, TACOMA, WA 98402-5503
(253) 396-5800
Mailing address
3244 DUKE CT SE, OLYMPIA, WA 98503-6228
(360) 459-9519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60277999
WA
101YM0800X
Mental Health Counselor
LW60300015
WA
104100000X
Social Worker
Primary
60300015
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC00025413
STATE LICENSE NUMBER
WA
Enumeration date
11/16/2007
Last updated
06/12/2024
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