Provider Demographics
NPI:1558523324
Name:CRAGIN, ANNA (LMFT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CRAGIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 CEDAR FALLS AVE
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-4147
Mailing Address - Country:US
Mailing Address - Phone:925-330-1654
Mailing Address - Fax:
Practice Address - Street 1:1210 CENTRAL BLVD STE 112
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2360
Practice Address - Country:US
Practice Address - Phone:925-727-3751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist