Individual
MR. NANNELL CROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
1400 HOPPE BLVD, SUITE 3, VIOLENCE PREVENTION SERVICES, ADA, OK 74820
(580) 272-5580
(580) 272-5554
Mailing address
210 E. MAIN, RESOURCE MANAGEMENT, ADA, OK 74820
(580) 436-7211
(580) 272-5757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
339
OK
Other
Enumeration date
03/21/2007
Last updated
11/17/2016
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