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Edward Patrick Craven JR.
Professional Counselor in Kennesaw, Georgia
NPI 1558905992

Edward Patrick Craven JR. is a Professional Counselor based in Smyrna, GA and is specialized in Professional. Edward Patrick Craven JR. practices in Kennesaw, GA. The NPI Number for Edward Patrick Craven JR. is 1558905992 and holds a License No. 010637 (Georgia).

The current practice location address for Edward Patrick Craven JR. is 3745 Cherokee St Nw Ste 607, Kennesaw, GA and can be reached out via phone at 770-499-0140 and via fax at 770-499-0147.

Location: 3745 Cherokee St Nw Ste 607, Kennesaw, GA, 30080-8615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558905992
Provider Name
Edward Patrick Craven JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3745 Cherokee St Nw Ste 607, Kennesaw, GA, 30080-8615
Phone Number
770-499-0140
Fax Number
770-499-0147
Provider Enumeration Date
10/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3745 Cherokee St Nw Ste 607
City
Kennesaw
State
Georgia
Zip
30144-6733
Phone Number
770-499-0140
Fax Number
770-499-0147
person
Provider Business Mailing Address Details
Address
3745 Cherokee St Nw Ste 607
City
Kennesaw
State
Georgia
Zip
30144-6733
Phone Number
770-499-0140
Fax Number
770-499-0147
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
010637 (Georgia)
Definition
Definition to come...
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