Individual
DOMINIQUE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAS
Contact information
Practice address
710 CHESWICK AVE, CONCORD, NC 28025-7079
(704) 629-8756
Mailing address
710 CHESWICK AVE, CONCORD, NC 28025-7079
(704) 629-8756
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-27430
NC
1041C0700X
Clinical Social Worker
Primary
C016592
NC
Other
Enumeration date
07/20/2021
Last updated
06/22/2025
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