Provider Demographics
NPI:1023287430
Name:CRAFT, MARINA L (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:L
Last Name:CRAFT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:MARINA
Other - Middle Name:L
Other - Last Name:GARCIA-CRAFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LCDCII
Mailing Address - Street 1:215 LINDY LANE AVE SW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-2969
Mailing Address - Country:US
Mailing Address - Phone:330-575-2163
Mailing Address - Fax:
Practice Address - Street 1:832 MCKINLEY AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44703-2463
Practice Address - Country:US
Practice Address - Phone:330-452-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH011198101YA0400X
OH1600209101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)