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Individual

MR. CRAIG WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5230 S WESTERN AVE, MARION, IN 46953-5778
(765) 674-2208
(765) 674-3273
Mailing address
5230 S WESTERN AVE, MARION, IN 46953-5778
(260) 553-8453

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004085A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000215665
BLUE CROSS BLUE SHIELD
IN
01
2037809
CIGNA BEHAVIORAL HEALTH
IN
01
232951000
MAGELLAN
IN
01
7889437
AETNA
IN
Enumeration date
03/07/2007
Last updated
12/18/2025
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