Individual
CREIGHTON ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
87 NUCKOLS RD, PHENIX CITY, AL 36869-3430
(404) 561-2127
Mailing address
87 NUCKOLS RD, PHENIX CITY, AL 36869-3430
(404) 561-2127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014767
GA
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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