| Charles L Crane, LMFT | |
|
365 W 50 N Ste W8, Vernal, UT 84078-2010 | |
| (435) 790-2757 | |
| Not Available |
| Full Name | Charles L Crane |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 365 W 50 N Ste W8, Vernal, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194901637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 6845102-3902 (Utah) | Primary |
| Entity Name | Lighthouse Youth & Family Therapy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871260497 PECOS PAC ID: 0042604910 Enrollment ID: O20220218002446 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L Crane, LMFT 365 W 50 N Ste W8, Vernal, UT 84078-2010 Ph: (435) 790-2757 | Charles L Crane, LMFT 365 W 50 N Ste W8, Vernal, UT 84078-2010 Ph: (435) 790-2757 |
Jeremy Conetah, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1140 W 500 S Ste 9, Vernal, UT 84078 Phone: 435-789-6300 Fax: 435-789-6357 | |
Ashley Nadene Tuft, AM&FT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 185 N Vernal Ave Ste 1, Vernal, UT 84078 Phone: 435-789-1305 | |
Danielle Schneider, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 335 W 50 N, Set E17, Vernal, UT 84078 Phone: 435-789-1305 | |
Hailee Jo Rayas, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 185 N Vernal Ave Ste 1, Vernal, UT 84078 Phone: 435-789-1305 Fax: 435-781-0331 | |
Cassandra Pickett, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1293 W Highway 40, Vernal, UT 84078 Phone: 801-450-5419 |