Individual
MR. THOMAS H CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC SAC
Contact information
Practice address
4811 S 76TH ST, SUITE 401, GREENFIELD, WI 53220-4364
(414) 325-7741
(414) 325-7753
Mailing address
4811 S 76TH ST, SUITE 401, GREENFIELD, WI 53220-4364
(414) 325-7741
(414) 325-7753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11357
WI
101YP2500X
Professional Counselor
Primary
5218-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2036410
CIGNA
—
01
—
253921000
MAGELLAN BID HEALTH
—
01
—
39794100
CENPATICO
WI
05
—
39794100
—
WI
Enumeration date
09/12/2005
Last updated
06/18/2014
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