Individual
MS. DELORES LEE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L.P.C.
Contact information
Practice address
2182 MCCULLOCH BLVD N STE 3, LAKE HAVASU CITY, AZ 86403-6880
(928) 600-5497
(888) 276-8290
Mailing address
2182 MCCULLOCH BLVD N STE 3, LAKE HAVASU CITY, AZ 86403-6880
(928) 600-5497
(888) 276-8290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-15548
AZ
101YP2500X
Professional Counselor
757435
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079113
—
AZ
05
—
314755
—
AZ
Enumeration date
08/23/2007
Last updated
12/19/2017
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