Crawford, Walter Lee

Crawford, Walter Lee is an individual health care provider with primary practice located at 1815 Pleasant Grove Rd , Jonesboro AR 72401. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Crawford, Walter Lee can be contacted via phone (870) 933-6886.

Contact Information

Primary practice address
1815 Pleasant Grove Rd Jonesboro AR 72401
Phone: (870) 933-6886
Fax: (870) 933-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P9401004 Arkansas

Profile Details

NPI number 1376586297
LBN Legal business name Crawford, Walter Lee
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 17th, 2018 - about 6 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 1376586297 NPPES
Arkansas Other 5X977 BCBS
Arkansas MEDICAID 169856795 BCBS
Arkansas Other 5X977 BCBS

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