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Individual

MAKAYLA RAE CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PLMHP, PLADC

Contact information

Practice address
700 W A ST, OGALLALA, NE 69153-1413
(308) 289-2746
Mailing address
405 W R ST, OGALLALA, NE 69153-1859
(308) 520-1771

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1980
NE
101YM0800X
Mental Health Counselor
Primary
12983
NE

Other

Enumeration date
06/14/2022
Last updated
06/14/2022
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