Individual
TERA RUMBAUGH CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 DELOR AVE, LOUISVILLE, KY 40217-2301
(502) 526-7906
Mailing address
507 EDGEFOREST PL, LOUISVILLE, KY 40245-5108
(502) 526-7906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
288678
KY
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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