Individual
AMANDA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 S ROAN ST STE 105, JOHNSON CITY, TN 37601-7679
(423) 631-0210
Mailing address
2700 S ROAN ST STE 105, JOHNSON CITY, TN 37601-7679
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4944
TN
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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