Individual provider · NPI-1
Jaclyn Craig
Art Therapist · Pearl River, NY
NPI number1912737248
StatusActive
Last updated in NPPESAug 2, 2024
Details
- NPI
- 1912737248
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn Craig
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2024
- Certification date
- Aug 2, 2024
- Last updated
- Aug 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 221700000X | Art Therapist | – | – | Yes |
Practice location
275 N Middletown Rd Ste 1dPearl River, NY 10965-1189
Phone 845-793-2657
Mailing address
215 Bloomfield StHoboken, NJ 07030-4731
Phone 908-458-7868
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