Individual
GENORRIS L. CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, LPC/MHSP
Contact information
Practice address
9695 LEBANON RD STE 340, MT JULIET, TN 37122-5541
(833) 432-5987
(615) 754-4756
Mailing address
2408 14TH AVE N, NASHVILLE, TN 37208-1164
(615) 210-6229
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
TN
101YP2500X
Professional Counselor
Primary
LPC0000002224
TN
106H00000X
Marriage & Family Therapist
LPC0000002224
TN
164W00000X
Licensed Practical Nurse
LPN0000082211
TN
Other
Enumeration date
03/22/2021
Last updated
03/23/2021
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