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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DOUGLAS EDWARD CRADDOCK, LMHC, LPCC

Active Sole Proprietor

MR. DOUGLAS EDWARD CRADDOCK, LMHC, LPCC is a Professional Counselor healthcare provider located in CLEARWATER, Florida. NPI 1174763783 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CLEARWATER, FL

Registration Details

NPI Number
1174763783
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2009 (17.680409255377 yrs)
Last Updated
Jul 13, 2011
Licenses
MH10055 (FL)
E-2588 (OH)
Sole Proprietor
Yes

Practice Information

Address
25400 US 19 N
SUITE 107
CLEARWATER, FL, 337632149
Browse FL providers · Browse ZIP 33763
Phone
7277918714
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in CLEARWATER, FL

Name Credential NPI
MR. GREGORY P HIETPAS M.A., L.M.H.C. 1679656029
MR. SEAMUS JOSEPH ALLMAN LMHC 1295046258
MRS. CAROL CANDELARIO — 1396050654
MS. MARIE E. DILLINGER LMHC 1942590195
JAMIE KOVACS — 1790167963
LEAH ASHANTI AMARAL MAATC 1679121180
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.