Provider Demographics
NPI:1275128522
Name:MACLAUGHLIN, CRAIG (LMFT)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:
Last Name:MACLAUGHLIN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 CARLSBAD VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2391
Mailing Address - Country:US
Mailing Address - Phone:760-808-2504
Mailing Address - Fax:
Practice Address - Street 1:560 CARLSBAD VILLAGE DR STE 200
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2391
Practice Address - Country:US
Practice Address - Phone:760-808-2504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT31733106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist