MR. JOHN ALFRED CRADLE MDIV NPI 1740061720

NPI Information

  • NPI: 1740061720
  • Provider Name: MR. JOHN ALFRED CRADLE, MDIV
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 800 N MANGUM ST STE 400
    DURHAM, NC
    ZIP 27701
  • Phone: (919) 683-1607

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NPI Details

MR. John Alfred Cradle, MDIV is an addiction (substance use disorder) counselor in Durham, NC. MR. John Alfred Cradle, MDIV NPI is 1740061720. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 N MANGUM ST STE 400
DURHAM, NC
ZIP 27701-260
Phone: (919) 683-1607

The enumeration date for this NPI number is 10/6/2023 and was last updated on 10/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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