Individual
ADRIANA L CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA, LPC, LBSW
Contact information
Practice address
2315 E SAUNDERS ST, SUITE 2, LAREDO, TX 78041-5434
(956) 729-1991
(956) 724-4081
Mailing address
2320 GUSTAVUS ST, LAREDO, TX 78043-2424
(956) 729-1991
(956) 724-4081
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16993
TX
171M00000X
Case Manager/Care Coordinator
37072
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1435026
—
TX
Enumeration date
12/19/2006
Last updated
10/11/2011
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