Individual
MS. MARY EILEEN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3356 KIMBALL AVE, WATERLOO, IA 50702-5700
(319) 291-6500
(319) 291-6363
Mailing address
3356 KIMBALL AVE, WATERLOO, IA 50702-5700
(319) 291-6500
(319) 291-6363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
97097
IA
101YM0800X
Mental Health Counselor
00280
IA
Other
Enumeration date
11/07/2006
Last updated
09/11/2025
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