Most Relevant Information
Provider Data
| NPI Number: | 1003390196 |
| Provider Name: | JONNY ANDREW CRAGG MA LMHCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MC60886510 |
Most Important Dates
| Enumeration Date: | 09/24/2018 |
| Last Updated: | 09/24/2018 |
Provider Practice Location
1400 112TH AVE SE STE 202
BELLEVUE
WA
980046901
Practice Location Phone/Fax
| Phone: | 9174340855 |
| Fax: |
Provider Mailing Location
13730 15TH AVE NE APT G202
SEATTLE
WA
981258415
Provider Mailing Phone/Fax
| Phone: | 1917434085 |
| Fax: |