Provider Demographics
NPI:1316487580
Name:GRIFFIN, CRAIG (LMHCA)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 W 15TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-2927
Mailing Address - Country:US
Mailing Address - Phone:360-719-0926
Mailing Address - Fax:
Practice Address - Street 1:314 W 15TH ST STE 200
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-2927
Practice Address - Country:US
Practice Address - Phone:360-719-0926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60708619101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health