Jeffrey Craven, LPCC | |
107 Bridgeway St, Aurora, IN 47001-1378 | |
(859) 757-0717 | |
(859) 331-2425 |
Full Name | Jeffrey Craven |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 107 Bridgeway St, Aurora, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184883951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 262222 (Kentucky) | Secondary |
101YM0800X | Counselor - Mental Health | 39002140A (Indiana) | Primary |
Entity Name | Summit Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Craven, LPCC Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 757-0717 | Jeffrey Craven, LPCC 107 Bridgeway St, Aurora, IN 47001-1378 Ph: (859) 757-0717 |
Kaitlyn Bailey, CADACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Green Blvd, Aurora, IN 47001 Phone: 812-727-3504 Fax: 812-727-3504 | |
Jacqueline Marie Vinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Pruyn St, Aurora, IN 47001 Phone: 812-221-0546 | |
Mrs. Lori Ann James, BS, CADAC IV Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Green Blvd, Aurora, IN 47001 Phone: 812-290-7401 | |
Angela Marie Mcallister, CADACIV, ICAADC Counselor Medicare: Medicare Enrolled Practice Location: 706 Green Blvd, Aurora, IN 47001 Phone: 812-584-3615 Fax: 812-720-3907 |