Provider Demographics
NPI:1477820926
Name:CREECH, JUDITH STANLEY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:STANLEY
Last Name:CREECH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6885 CLIFFDALE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-2833
Mailing Address - Country:US
Mailing Address - Phone:919-207-8255
Mailing Address - Fax:910-868-6796
Practice Address - Street 1:6885 CLIFFDALE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-2833
Practice Address - Country:US
Practice Address - Phone:919-207-8255
Practice Address - Fax:910-868-6796
Is Sole Proprietor?:No
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC920101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional