| Doctor Name: | MS. MARY ELIZABETH CRANE |
| NPI Number: | 1043334899 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC, LSW |
| License Number: | LCPC-3458 |
| Business Practice Address: | 73265 Confederated Way Pendleton, OR - 978010160 |
| Business Phone Number: | 5419669830 |
| Business Fax Number: | 5412787572 |
| Mailing Address: | 211 Nw 10th St, PENDLETON |
| State: | OR |
| Postal Code: | 978011561 |
| Phone Number: | 5412787554 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 01/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCPC-3458 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |