Crawford, Delores Lee

Crawford, Delores Lee is an sole proprietor health care provider with primary practice located at 2182 Mcculloch Blvd N Ste 3 , Lake Havasu City AZ 86403-6880. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Crawford, Delores Lee can be contacted via phone (928) 600-5497.

Contact Information

Primary practice address
2182 Mcculloch Blvd N Ste 3 Lake Havasu City AZ 86403-6880
Phone: (928) 600-5497
Fax: (888) 276-8290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 757435 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-15548 Arizona

Profile Details

NPI number 1336332279
LBN Legal business name Crawford, Delores Lee
Credentials M.A. L.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2007
Last updated Dec 19th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336332279 NPPES
Arizona MEDICAID 079113
Arizona MEDICAID 314755

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