Individual
BRIANNA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM 60890123
Contact information
Practice address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Mailing address
4602 TIETON DR APT P73, YAKIMA, WA 98908-3472
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CM60890123
WA
101YM0800X
Mental Health Counselor
Primary
CM60890123
WA
246YR1600X
Registered Record Administrator
CM60890123
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0755984
—
WA
Enumeration date
01/18/2019
Last updated
01/18/2019
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