Individual
JESSICA MARA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
269 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 461-2892
Mailing address
200 HOWARD LAKE RD, LEONARD, MI 48367-1202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016163
MI
Other
Enumeration date
08/17/2017
Last updated
05/07/2024
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