Individual
ANDREW DAVID DAVILA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CATC-III
Contact information
Practice address
14742 NEWPORT AVE, TUSTIN, CA 92780-6177
(949) 829-7130
Mailing address
21 VIA HONRADO, RANCHO SANTA MARGARITA, CA 92688-1955
(949) 829-7130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
196897-II
CA
Other
Enumeration date
10/09/2015
Last updated
06/09/2022
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