| NPI | 1629042080 |
|---|---|
| Professional Name | J. CRAIG BOYDSTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 1874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2023-04-25 |