Individual
DOUG MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7051 HEATHCOTE VILLAGE WAY STE 125, GAINESVILLE, VA 20155-3198
(571) 237-4556
(833) 702-9006
Mailing address
10 CROWNCREST RD, FREDERICKSBURG, VA 22406-4895
(571) 237-4556
(833) 702-9006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701004422
VA
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
04/12/2024
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