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Individual

MRS. BERNADINE O. CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.C.

Contact information

Practice address
880 ANTHONY DR, SUITE 3B, ANTHONY, NM 88021-9346
(575) 882-5290
(575) 882-1879
Mailing address
3120 DYER ST, LAS CRUCES, NM 88011-4802
(575) 532-9628
(575) 532-9628

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11860
TX
101YM0800X
Mental Health Counselor
Primary
4079
NM
101YS0200X
School Counselor
285834
NM

Other

Enumeration date
01/06/2010
Last updated
01/06/2010
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