Individual
CAROL MARIE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4047 N 40TH PL, PHOENIX, AZ 85018-5206
(602) 573-0412
Mailing address
4225 N 21ST ST, UNIT 10, PHOENIX, AZ 85016-6159
(602) 573-0412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0504
AZ
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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