Individual
MR. WALTER LEE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401
(870) 933-6886
(870) 933-9395
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
P9401004
AR
101YP2500X
Professional Counselor
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169856795
—
AR
01
—
5X977
BCBS
AR
Enumeration date
06/14/2006
Last updated
05/17/2018
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