Individual
JARED CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
3 CLEARVIEW CIR, MOSELLE, MS 39459-9520
(015) 441-4996
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
835
MS
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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