Individual
MR. CRAIG A. PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
404 W 2ND ST, MOUNT PLEASANT, TX 75455-3841
(903) 577-1224
(903) 577-1810
Mailing address
P.O. BOX 2060, MOUNT PLEASANT, TX 75456-2060
(903) 577-1224
(903) 577-1810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5057LC
BCBS
TX
01
—
5630133
AETNA PROVIDER NUMBER
TX
Enumeration date
09/16/2005
Last updated
03/26/2024
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