Doctor Name: | DR. PERRY NEAL CRAWFORD |
NPI Number: | 1316909617 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD, LPC, LADC, NCC |
License Number: | COUN 306 |
Business Practice Address: | Army Substance Abuse Program Clinic Mary E. Walker Center Fort Irwin, CA - 923105090 |
Business Phone Number: | 7603804044 |
Business Fax Number: | 7603806469 |
Mailing Address: | 1117 Teton Dr, BARSTOW |
State: | CA |
Postal Code: | 923116706 |
Phone Number: | 7603804044 |
Fax Number: | 7603806469 |
NPI Enumeration Date: | 04/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | COUN 306 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |