Individual
CHARLENE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 S HIGHWAY 27 STE C, SOMERSET, KY 42501-2900
(606) 219-0856
Mailing address
308 STRINGER DR, SOMERSET, KY 42501-1665
(606) 219-0856
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
KY
324500000X
Substance Abuse Rehabilitation Facility
—
KY
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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