Individual
TRUDY M CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
155377
AZ
101YP2500X
Professional Counselor
Primary
15436
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155377
LIAC
AZ
Enumeration date
05/15/2025
Last updated
06/13/2026
Update your record
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