Guadalupe Crawford, LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Grand Forks, ND
NPI 1386860286 · NPPES record last updated Oct 22, 2014
Key facts
- NPI
- 1386860286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1557 (ND)
- Practice address
- 151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715 - Phone
- (701) 795-3000
- Fax
- (701) 795-3050
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1557 | ND | Yes |
Addresses
Primary practice location
151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715
Mailing address
151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715
Phone (701) 795-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28140 | Other | ND | BCBS OF ND PIN |
| 054519 | Medicaid | ND |
Other providers in Grand Forks, ND
- Kayla Coronato
- Elizabeth Cote
- Courageous Connections
- Meaghan Rene Coval
- Cheryl A Cox
- John Crist
- Samuel W Criswell
- Crossover Health Medical Group
- Summer Crow
- Cheryl Cruikshank
All providers in Grand Forks, ND · Addiction (Substance Use Disorder) Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.