Individual
MR. DAVID L CRANE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
102 E HIGH ST, TUCUMCARI, NM 88401-2726
(505) 461-6200
(505) 461-0404
Mailing address
102 E HIGH ST, P.O. BOX 881, TUCUMCARI, NM 88401-2726
(505) 461-6200
(505) 461-0404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006177
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43220380
—
NM
01
—
NM100178
INDIV PROV MEDICAID
NM
Enumeration date
02/17/2006
Last updated
07/08/2007
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