Individual
MISS MICHELLE DENISE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
5233 HOHMAN, HAMOND, IN 46320
(219) 881-8822
Mailing address
3662 WINDY BEACH ST, PORTAGE, IN 46368-1879
(219) 290-6380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
99101189A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99101189A
—
IN
Enumeration date
12/16/2022
Last updated
12/16/2022
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