Individual
EDWARD PATRICK CRAVEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3745 CHEROKEE ST NW STE 607, KENNESAW, GA 30144-6733
(770) 499-0140
(770) 499-0147
Mailing address
2810 NORTHPLACE WAY SE, SMYRNA, GA 30080-8615
(678) 938-8852
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
010637
GA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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