Individual
ALEXANDRIA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 GEORGE ST, NEW HAVEN, CT 06511-6617
(203) 785-2540
Mailing address
904 E MARTIN LUTHER KING DR, CENTRALIA, IL 62801
(161) 853-3139
(618) 533-0012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370915481007
—
IL
Enumeration date
12/22/2020
Last updated
02/12/2026
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