Individual
MRS. CAROLYN HENRIETTA MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 CIRCLE OF PROGRESS DR, POTTSTOWN, PA 19464-3811
(610) 970-5410
(610) 970-3330
Mailing address
422 UPLAND ST APT F5, POTTSTOWN, PA 19464-9413
(610) 970-5410
(610) 970-3330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C1911A
AL
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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