Individual
KYLE JOHN CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 BELMONT ST, SOUTH EASTON, MA 02375-1103
(617) 691-0338
Mailing address
377 WILLARD ST APT 186, QUINCY, MA 02169-6122
(617) 704-2391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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