Provider Demographics
NPI:1184159683
Name:CRAYCRAFT, SARAH ELIZABETH (MS, LPCC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:CRAYCRAFT
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 WALNUT ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-2485
Mailing Address - Country:US
Mailing Address - Phone:970-829-1888
Mailing Address - Fax:
Practice Address - Street 1:204 WALNUT ST
Practice Address - Street 2:SUITE G
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2485
Practice Address - Country:US
Practice Address - Phone:970-829-1888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-22
Last Update Date:2017-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0014210101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health