Provider Demographics
NPI:1578775664
Name:CRAIG, LOIS JEAN (LPCC)
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:JEAN
Last Name:CRAIG
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195. W. HWY 246
Mailing Address - Street 2:
Mailing Address - City:BUELLTON
Mailing Address - State:CA
Mailing Address - Zip Code:93427
Mailing Address - Country:US
Mailing Address - Phone:805-245-0466
Mailing Address - Fax:805-686-8556
Practice Address - Street 1:195. W. HWY 246
Practice Address - Street 2:
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-2606
Practice Address - Country:US
Practice Address - Phone:805-686-0295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA283101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health