Provider Demographics
NPI:1427250497
Name:CRAWFORD, SCOTT WESLEY SR (LPC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:WESLEY
Last Name:CRAWFORD
Suffix:SR
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 1:4858 GYPSY FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2463
Mailing Address - Country:US
Mailing Address - Phone:832-893-5106
Mailing Address - Fax:
Practice Address - Street 1:4858 GYPSY FOREST DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2463
Practice Address - Country:US
Practice Address - Phone:832-893-5106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61202101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional