Provider Demographics
NPI:1215638598
Name:V. CRAIG FAMILY THERAPY INC.
Entity type:Organization
Organization Name:V. CRAIG FAMILY THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VALYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:916-318-9204
Mailing Address - Street 1:18564 US HIGHWAY 18 STE 205-A1
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2312
Mailing Address - Country:US
Mailing Address - Phone:916-318-9204
Mailing Address - Fax:760-478-6279
Practice Address - Street 1:18564 US HIGHWAY 18 STE 205-A1
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2312
Practice Address - Country:US
Practice Address - Phone:916-318-9204
Practice Address - Fax:760-478-6279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty