Healthcare Provider Details

I. General information

NPI: 1780388785
Provider Name (Legal Business Name): GABRIEL L.M. CRAWFORD LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GLOBAL VIEW DR
WARRENDALE PA
15086-7612
US

IV. Provider business mailing address

100 GLOBAL VIEW DR
WARRENDALE PA
15086-7612
US

V. Phone/Fax

Practice location:
  • Phone: 360-200-8728
  • Fax: 360-835-6481
Mailing address:
  • Phone: 360-200-8728
  • Fax: 360-835-6481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: