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NPI Code Detail

MEDICARE: STEPHANIE CRAWFORD CDCA

MEDICARE:   STEPHANIE  CRAWFORD  CDCA
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
1101YA0400XAddiction (Substance Use Disorder) Counselor194960OH

General Provider Information

NPI Number : 1831931336
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE CRAWFORD CDCA
Provider Business Mailing Address
First Line : 31 1/2 KEYS LANE
Second Line :
City : SOUTH SHORE
State : KY
Zip : 41175
Country : US
Telephone Number : 740-981-4995
Fax Number :
Provider Business Practice Location Address
First Line : 215 S ALLISON AVE
Second Line :
City : XENIA
State : OH
Zip : 45385-3694
Country : US
Telephone Number : 937-352-6490
Fax Number : 937-888-4008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2024
Last Update Date : 01/22/2026

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Directions to “ STEPHANIE CRAWFORD CDCA” Practice Location

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