Individual
AMY RACHELLE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT I
Contact information
Practice address
208 23RD ST, RICHMOND, CA 94804-1830
(510) 216-4601
Mailing address
208 23RD ST, RICHMOND, CA 94804-1830
(510) 216-4601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1452021221
CA
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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