Craddock, Louis Ray

Craddock, Louis Ray is an sole proprietor health care provider with primary practice located at 800 Seneca Dr , Belpre OH 45714-1141. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Craddock, Louis Ray can be contacted via phone (740) 423-4707.

Contact Information

Primary practice address
800 Seneca Dr Belpre OH 45714-1141
Phone: (740) 423-4707
Fax: (740) 423-6976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 670 West Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 670 West Virginia
Behavioral Health & Social Service Providers / Forensic 103TF0200X 670 West Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 670 West Virginia

Profile Details

NPI number 1629177423
LBN Legal business name Craddock, Louis Ray
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 9th, 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 1629177423 NPPES
West Virginia MEDICAID 0164801000

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