Organization
CRAWFORD COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP OSBORNE LCPC (CO-OWNER)
(847) 424-9433
Entity
Organization
Contact information
Practice address
2530 CRAWFORD AVE STE 304, EVANSTON, IL 60201-4972
(847) 424-9433
(847) 869-8116
Mailing address
2530 CRAWFORD AVE STE 304, EVANSTON, IL 60201-4972
(847) 424-9433
(847) 869-8116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180004808
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962482471
INDIVIDUAL NPI
—
Enumeration date
05/20/2011
Last updated
05/20/2011
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