Provider Demographics
NPI:1083194609
Name:CRAWFORD, DANIEL CRAWFORD (LPC)
Entity type:Individual
Prefix:MR
First Name:DANIEL CRAWFORD
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 ESSLINGER DR
Mailing Address - Street 2:
Mailing Address - City:GURLEY
Mailing Address - State:AL
Mailing Address - Zip Code:35748-9370
Mailing Address - Country:US
Mailing Address - Phone:256-585-9351
Mailing Address - Fax:
Practice Address - Street 1:699 ESSLINGER DR
Practice Address - Street 2:
Practice Address - City:GURLEY
Practice Address - State:AL
Practice Address - Zip Code:35748-9370
Practice Address - Country:US
Practice Address - Phone:256-585-9351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3014101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty