Provider Demographics
NPI:1396808614
Name:CRANFORD, JANE BURGESS (LPC)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:BURGESS
Last Name:CRANFORD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:952 S COX ST
Mailing Address - Street 2:PO BOX 402
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-6466
Mailing Address - Country:US
Mailing Address - Phone:336-689-3174
Mailing Address - Fax:336-629-3584
Practice Address - Street 1:952 S COX ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6466
Practice Address - Country:US
Practice Address - Phone:336-689-3174
Practice Address - Fax:336-629-3584
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4493101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health