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NPI Code Detail

MEDICARE: MR. DAN CRAWFORD MFTI

MEDICARE:  MR. DAN  CRAWFORD  MFTI
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
1106H00000XMarriage & Family Therapist84869CA

General Provider Information

NPI Number : 1982782116
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAN CRAWFORD MFTI
Provider Business Mailing Address
First Line : PO BOX 593
Second Line :
City : NORTH SAN JUAN
State : CA
Zip : 95960-0593
Country : US
Telephone Number : 530-559-8882
Fax Number :
Provider Business Practice Location Address
First Line : 101 PROVIDENCE MINE RD
Second Line : 106C
City : NEVADA CITY
State : CA
Zip : 95959-2939
Country : US
Telephone Number : 530-559-8882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 12/15/2015

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Directions to “ MR. DAN CRAWFORD MFTI” Practice Location

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