Individual
DR. MARIE EILEEN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
739 BLUFF CITY HWY, SUITE 5, BRISTOL, TN 37620-4637
(423) 217-1097
(423) 217-1069
Mailing address
739 BLUFF CITY HWY, SUITE 5, BRISTOL, TN 37620-4637
(423) 217-1097
(423) 217-1069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LMHC2593
FL
101Y00000X
Counselor
Primary
LPC1757
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1757
LPC
TN
01
—
2593
LMHC
FL
Enumeration date
10/02/2006
Last updated
02/16/2009
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