Individual
MR. CRAIG JAY RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2914 POYNER DR, PHENIX CITY, AL 36870-2835
(606) 207-0965
Mailing address
2914 POYNER DR, PHENIX CITY, AL 36870-2835
(606) 207-0965
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44SC04335300
NJ
1041C0700X
Clinical Social Worker
Primary
CSW004867
GA
Other
Enumeration date
08/12/2008
Last updated
03/18/2013
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