Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GERALDINE BAKER CRADDOCK, D.MIN., LCADC, LPC
Active Sole ProprietorDR. GERALDINE BAKER CRADDOCK, D.MIN., LCADC, LPC is a Substance Abuse Rehabilitation Facility healthcare provider located in LEXINGTON, Kentucky. NPI 1083982185 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · LEXINGTON, KY
Registration Details
- NPI Number
- 1083982185
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2011 (14.699351877005 yrs)
- Last Updated
- Apr 13, 2016
- Licenses
-
ADCLAD00225185 (KY)KY-0001 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1588 HILL RISE DRLEXINGTON, KY, 405042587Browse KY providers · Browse ZIP 40504
- Phone
- 8592550890
- Fax
- 8592550854
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Substance Abuse Rehabilitation Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.