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Dr. Geraldine Baker Craddock, DMIN,LCADC,LPC
Substance Abuse Rehabilitation Facility in Lexington, Kentucky
NPI 1083982185

Geraldine Baker Craddock is a Substance Abuse Rehabilitation Facility based in Lexington, KY. Geraldine Baker Craddock practices in Lexington, KY and has the professional credentials of DMIN,LCADC,LPC. The NPI Number for Geraldine Baker Craddock is 1083982185 and holds a License No. ADCLAD00225185 (Kentucky).

The current practice location address for Geraldine Baker Craddock is 1588 Hill Rise Dr, Lexington, KY and can be reached out via phone at 859-255-0890 and via fax at 859-255-0854.

Location: 1588 Hill Rise Dr, Lexington, KY, 40504-2587
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Provider Profile Details
NPI Number
1083982185
Provider Name
Geraldine Baker Craddock
Credential
DMIN,LCADC,LPC
Provider Entity Type
Individual
Gender
Female
Address
1588 Hill Rise Dr, Lexington, KY, 40504-2587
Phone Number
859-255-0890
Fax Number
859-255-0854
Provider Enumeration Date
12/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083982185 05 KY
institution
Provider Business Practice Location Address Details
Address
1588 Hill Rise Dr
City
State
Zip
40504-2587
Phone Number
859-255-0890
Fax Number
859-255-0854
person
Provider Business Mailing Address Details
Address
1588 Hill Rise Dr
City
State
Zip
40504-2587
Phone Number
859-255-0890
Fax Number
859-255-0854
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
ADCLAD00225185 (Kentucky)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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