| NPI | 1417472267 |
|---|---|
| Professional Name | TEAGUE CRAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109836) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker (Licence: CA 109836) | |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2019-08-01 |