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Individual
MR. THOMAS H CRAWFORD
Active
Individual
MR. THOMAS H CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC SAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11357
WI
101YP2500X
Professional Counselor
Primary
5218-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2036410
CIGNA
—
01
—
253921000
MAGELLAN BID HEALTH
—
01
—
39794100
CENPATICO
WI
05
—
39794100
—
WI
Enumeration date
09/12/2005
Last updated
06/18/2014
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