| Doctor Name: | MR. EMORY JAMES CRAWFORD |
| NPI Number: | 1174628929 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | 4435 |
| Business Practice Address: | 546 North 10th Street Fort Sumner, NM - 881190349 |
| Business Phone Number: | 5052022257 |
| Business Fax Number: | 5053557894 |
| Mailing Address: | Po Box 578, FORT SUMNER |
| State: | NM |
| Postal Code: | 881190578 |
| Phone Number: | 5052022257 |
| Fax Number: | 5053557894 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 4435 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |