Provider Demographics
NPI:1487069373
Name:WILLIAM N CRAFT
Entity type:Organization
Organization Name:WILLIAM N CRAFT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:N
Authorized Official - Last Name:CRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-529-3320
Mailing Address - Street 1:291 MAIN ST
Mailing Address - Street 2:STE 10
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2526
Mailing Address - Country:US
Mailing Address - Phone:508-529-3320
Mailing Address - Fax:508-377-4106
Practice Address - Street 1:291 MAIN ST
Practice Address - Street 2:STE 10
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2526
Practice Address - Country:US
Practice Address - Phone:508-529-3320
Practice Address - Fax:508-377-4106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA115323101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty