Individual
MS. MAYNA C CRAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LCPC
Contact information
Practice address
206 WEST 5TH STREET, METROPOLIS, IL 62960
(618) 524-9368
(618) 524-9551
Mailing address
206 WEST 5TH STREET, METROPOLIS, IL 62960
(618) 524-9368
(618) 524-9551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006415003
BCBS
—
01
—
161815
VALUE OPTIONS
—
01
—
289898
MHN
—
01
—
AS8226120001
CIGNA
—
Enumeration date
12/13/2006
Last updated
07/08/2007
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