| James P Craft Iii, | |
|
6611 Jefferson St Fl 1, Haymarket, VA 20169-4902 | |
| (703) 955-3139 | |
| Not Available |
| Full Name | James P Craft Iii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 6611 Jefferson St Fl 1, Haymarket, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497571681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701014276 (Virginia) | Primary |
| Entity Name | Youth For Tomorrow New Life Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316118292 PECOS PAC ID: 1951673227 Enrollment ID: O20170822000018 |
| Mailing Address | Practice Location Address |
|---|---|
| James P Craft Iii, 6611 Jefferson St Fl 1, Haymarket, VA 20169-4902 Ph: () - | James P Craft Iii, 6611 Jefferson St Fl 1, Haymarket, VA 20169-4902 Ph: (703) 955-3139 |
Mr. Eugene Harris Ii, LCP, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4496 Dodds Mill Dr, Haymarket, VA 20169 Phone: 910-489-4014 Fax: 703-753-0405 | |
Samantha Long, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14950 Washington St Ste 201, Haymarket, VA 20169 Phone: 703-753-2923 | |
Claudia Rubidia Gamez, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6611 Jefferson St Ste 301, Haymarket, VA 20169 Phone: 703-209-8496 | |
Uma Devi Tummala, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6611 Jefferson St, Haymarket, VA 20169 Phone: 703-398-8979 | |
Ms. Catherine Ann Love, LPC/LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15100 Washington St Ste 103, Haymarket, VA 20169 Phone: 703-216-5230 | |
Kenneth Richard Bond Ii, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 6079 Erinblair Loop, Haymarket, VA 20169 Phone: 240-324-7319 |