Doctor Name: | TODD OWEN CRAWFORD |
NPI Number: | 1578874731 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, LADC |
License Number: | 1600 |
Business Practice Address: | 610 Silver Maple Ct Noble, OK - 730689351 |
Business Phone Number: | 4058721195 |
Business Fax Number: | |
Mailing Address: | 610 Silver Maple Ct, NOBLE |
State: | OK |
Postal Code: | 730689351 |
Phone Number: | 4058721195 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2010 |
NPI Last Update Date: | 06/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1600 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |