Craddick, Amy Colleen

Craddick, Amy Colleen is an individual health care provider with primary practice located at 114 Orchard Lake Rd , Pontiac MI 48341-2244. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Craddick, Amy Colleen can be contacted via phone (248) 858-7766.

Contact Information

Primary practice address
114 Orchard Lake Rd Pontiac MI 48341-2244
Phone: (248) 858-7766
Fax: (248) 858-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401010454 Michigan

Profile Details

NPI number 1649479858
LBN Legal business name Craddick, Amy Colleen
Credentials MA, LLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Jul 17th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649479858 NPPES
Michigan MEDICAID 1883825

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