Individual
CANDICE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 OLD WESTBURY RD, ROSLYN HEIGHTS, NY 11577-2215
(516) 626-1971
Mailing address
25736 148TH AVE, ROSEDALE, NY 11422-2914
(404) 502-7213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005999
NY
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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