Individual
LESLIE MARIE CRANDELL-EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
5516 TORREY RD, FLINT, MI 48507-5955
(810) 252-5943
(810) 232-3056
Mailing address
5516 TORREY RD, FLINT, MI 48507-5955
(810) 252-5943
(810) 232-3056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401009309
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401009309
MI
101YM0800X
Mental Health Counselor
6401009309
MI
101YP2500X
Professional Counselor
Primary
6401009309
MI
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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