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NPI Code Detail

MEDICARE: LINDSEY JEAN CRAWFORD LICDC-CS

MEDICARE: LINDSEY JEAN CRAWFORD LICDC-CS
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) CounselorLICDCCS.162421OH
2101YA0400XAddiction (Substance Use Disorder) Counselor131084OH

General Provider Information

NPI Number : 1558877555
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY JEAN CRAWFORD LICDC-CS
Provider Business Mailing Address
First Line : 729 6TH ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-4030
Country : US
Telephone Number : 740-876-8290
Fax Number : 740-529-1205
Provider Business Practice Location Address
First Line : 729 6TH ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-4030
Country : US
Telephone Number : 740-876-8290
Fax Number : 740-876-8290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2017
Last Update Date : 02/04/2026

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Directions to “ LINDSEY JEAN CRAWFORD LICDC-CS” Practice Location

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