Provider Demographics
NPI:1356160162
Name:CRAFT, KATLYN MADISON (MA, LPC-A)
Entity type:Individual
Prefix:
First Name:KATLYN
Middle Name:MADISON
Last Name:CRAFT
Suffix:
Gender:F
Credentials:MA, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 BILTMORE LOOP
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-1653
Mailing Address - Country:US
Mailing Address - Phone:281-520-0939
Mailing Address - Fax:
Practice Address - Street 1:10857 KUYKENDAHL RD
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2935
Practice Address - Country:US
Practice Address - Phone:281-882-3706
Practice Address - Fax:281-742-1103
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health