Provider Demographics
NPI:1033459102
Name:CRAWFORD, ROSEMARY ELAINE (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:ELAINE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12360 LAKE CITY WAY NE STE 420
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5452
Mailing Address - Country:US
Mailing Address - Phone:206-363-9601
Mailing Address - Fax:206-363-9639
Practice Address - Street 1:12360 LAKE CITY WAY NE STE 420
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-5452
Practice Address - Country:US
Practice Address - Phone:206-363-9601
Practice Address - Fax:206-363-9639
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60303339101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health