Individual
RYAN NELSON CRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LPC
Contact information
Practice address
403 W CHERRY LN, MERIDIAN, ID 83642-1610
(208) 887-1911
(208) 895-8049
Mailing address
403 W CHERRY LN, MERIDIAN, ID 83642-1610
(208) 887-1911
(208) 895-8049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-7552
ID
Other
Enumeration date
06/15/2009
Last updated
11/28/2021
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