Individual
JACQUELYN CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Mailing address
11000 FOX MOORE CT, LOUISVILLE, KY 40223-5530
(502) 802-2603
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
104381
KY
Other
Enumeration date
12/17/2008
Last updated
06/15/2016
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