Provider Demographics
NPI:1699893305
Name:CROSSMAN, EDWARD ARTHUR (LMFT)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:ARTHUR
Last Name:CROSSMAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1374 W MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-2435
Mailing Address - Country:US
Mailing Address - Phone:559-438-4027
Mailing Address - Fax:
Practice Address - Street 1:3636 N 1ST ST STE 123
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-6818
Practice Address - Country:US
Practice Address - Phone:559-512-6802
Practice Address - Fax:559-444-1994
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT35494106H00000X
CAMFC 35494106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist