Doctor Name: | DAVID P CRICHTON |
NPI Number: | 1053449322 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 0067772 |
Business Practice Address: | 2415a Morganton Blvd Sw Lenoir, NC - 286459691 |
Business Phone Number: | 8287575685 |
Business Fax Number: | 8287575681 |
Mailing Address: | 3050 11th Avenue Dr Se, HICKORY |
State: | NC |
Postal Code: | 286028336 |
Phone Number: | 8286955900 |
Fax Number: | 8286954256 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 08/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0067772 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |