Provider Demographics
NPI:1427245901
Name:CRAWFORD, KATHRYN FOX (MS LPC NCC)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:FOX
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MS LPC NCC
Other - Prefix:
Other - First Name:KATHRYNEE
Other - Middle Name:LYNETTE
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:814 MOHAWK DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501
Mailing Address - Country:US
Mailing Address - Phone:843-661-5071
Mailing Address - Fax:
Practice Address - Street 1:814 MOHAWK DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501
Practice Address - Country:US
Practice Address - Phone:843-661-5071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2767101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional