Provider Demographics
NPI:1477106094
Name:CROWELL, ALLEN (CDCA)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:
Last Name:CROWELL
Suffix:
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 PLAZA DR STE M
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-8735
Mailing Address - Country:US
Mailing Address - Phone:740-449-2879
Mailing Address - Fax:740-449-2882
Practice Address - Street 1:107 PLAZA DR STE M
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-8735
Practice Address - Country:US
Practice Address - Phone:740-449-2879
Practice Address - Fax:740-449-2882
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)