Individual
KENISHA MICHELLE CRAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
168 PARKVIEW RD, SAVANNAH, GA 31419-9672
(912) 492-2336
Mailing address
168 PARKVIEW RD, SAVANNAH, GA 31419-9672
(912) 492-2336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0214
GA
101YP2500X
Professional Counselor
Primary
LPC011526
GA
Other
Enumeration date
04/04/2020
Last updated
04/04/2020
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