Craddock, Adriana L

Craddock, Adriana L is an individual health care provider with primary practice located at 2315 E Saunders St Suite 2, Laredo TX 78041-5434. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Craddock, Adriana L can be contacted via phone (956) 729-1991.

Contact Information

Primary practice address
2315 E Saunders St Suite 2 Laredo TX 78041-5434
Phone: (956) 729-1991
Fax: (956) 724-4081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 16993 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X 37072 Texas

Profile Details

NPI number 1972666998
LBN Legal business name Craddock, Adriana L
Credentials LPA, LPC, LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Oct 11th, 2011 - about 15 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 1972666998 NPPES
Texas MEDICAID 1435026

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