Provider Demographics
NPI:1063633410
Name:LOVING, CRAIG L (LMFT, LAC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:L
Last Name:LOVING
Suffix:
Gender:M
Credentials:LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10725 BOSTON ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:CO
Mailing Address - Zip Code:80640-8968
Mailing Address - Country:US
Mailing Address - Phone:303-349-7398
Mailing Address - Fax:888-506-6078
Practice Address - Street 1:10754 BELLE CREEK BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:HENDERSON
Practice Address - State:CO
Practice Address - Zip Code:80640-8968
Practice Address - Country:US
Practice Address - Phone:303-349-7398
Practice Address - Fax:888-506-6078
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2013-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO202101YA0400X
CO746106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)