Individual
MICAH CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 994-6611
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 994-6611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5362
ID
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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