Provider Demographics
NPI:1659042216
Name:DARRAGH, CRAIG (LPC)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:DARRAGH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16025 S 50TH ST APT 2089
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-5015
Mailing Address - Country:US
Mailing Address - Phone:602-516-0776
Mailing Address - Fax:
Practice Address - Street 1:16025 S 50TH ST APT 2089
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-5015
Practice Address - Country:US
Practice Address - Phone:602-516-0776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13341101YA0400X
IL178.017400101YP2500X
AZ16099101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)