MEDICARE: ROSEMARY ELAINE CRAWFORD MA, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MC 60303339	WA

General Provider Information

NPI Number	:	1033459102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARY ELAINE CRAWFORD MA, LMHC

Provider Business Mailing Address
First Line	:	12360 LAKE CITY WAY NE STE 420
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-5452
Country	:	US
Telephone Number	:	206-363-9601
Fax Number	:	206-363-9639

Provider Business Practice Location Address
First Line	:	12360 LAKE CITY WAY NE STE 420
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-5452
Country	:	US
Telephone Number	:	206-363-9601
Fax Number	:	206-363-9639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2013
Last Update Date	:	04/13/2021

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