Individual
DORIAN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL PS
Contact information
Practice address
100 CUMMINGS CTR STE 365D, BEVERLY, MA 01915-6261
(978) 338-4288
Mailing address
100 CUMMINGS CTR STE 365D, BEVERLY, MA 01915-6261
(978) 338-4288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMHC 6102
MA
103TC0700X
Clinical Psychologist
Primary
10167
MA
390200000X
Student in an Organized Health Care Education/Training Program
6102
MA
Other
Enumeration date
09/11/2009
Last updated
03/15/2019
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