Individual
CHRISTY R CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
305 N MASON ST, CARROLLTON, MO 64633-2247
(660) 542-1403
(660) 542-3141
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016044485
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490048352
—
MO
Enumeration date
10/03/2017
Last updated
04/08/2021
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