Provider Demographics
NPI:1487188215
Name:MCELROY, CRAIG (MHP, SUDP, ICGC-II)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:MCELROY
Suffix:
Gender:M
Credentials:MHP, SUDP, ICGC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15407 E MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99037-8536
Mailing Address - Country:US
Mailing Address - Phone:509-927-1543
Mailing Address - Fax:509-927-4761
Practice Address - Street 1:701 E 3RD AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-6014
Practice Address - Country:US
Practice Address - Phone:509-838-6092
Practice Address - Fax:509-388-6110
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60664764101YA0400X
WAMHP101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)