person
Jerry Craft
Addiction (Substance Use Disorder) Counselor in Portsmouth, Ohio
NPI 1891320727

Jerry Craft is an Addiction (Substance Use Disorder) Counselor based in New Boston, OH and is specialized in Addiction (Substance Use Disorder). Jerry Craft practices in Portsmouth, OH. The NPI Number for Jerry Craft is 1891320727 and holds a License No. (Ohio).

The current practice location address for Jerry Craft is 1616 Grant St, Portsmouth, OH and can be reached out via phone at 740-901-0416 and via fax at 740-901-0417.

Location: 1616 Grant St, Portsmouth, OH, 45662-5504
person
Provider Profile Details
NPI Number
1891320727
Provider Name
Jerry Craft
Credential
Provider Entity Type
Individual
Gender
Male
Address
1616 Grant St, Portsmouth, OH, 45662-5504
Phone Number
740-901-0416
Fax Number
740-901-0417
Provider Enumeration Date
03/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0400089 05 OH
institution
Provider Business Practice Location Address Details
Address
1616 Grant St
City
State
Zip
45662-3663
Phone Number
740-901-0416
Fax Number
740-901-0417
person
Provider Business Mailing Address Details
Address
1616 Grant St
City
State
Zip
45662-3663
Phone Number
740-901-0416
Fax Number
740-901-0417
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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