Individual
MS. KELLY CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
203 CHAMPION WAY STE 7, GEORGETOWN, KY 40324-8861
(502) 867-1336
Mailing address
4587 MUDDY FORD RD, GEORGETOWN, KY 40324-9642
(502) 642-0525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
174706
KY
101YM0800X
Mental Health Counselor
174706
KY
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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