Provider Demographics
NPI:1477848083
Name:CRAWLEY-WITHEE, MICHELE MARIE (MS, LPC, NCC, CADC I)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:MARIE
Last Name:CRAWLEY-WITHEE
Suffix:
Gender:F
Credentials:MS, LPC, NCC, CADC I
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:MARIE
Other - Last Name:CRAWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:609 NE BAKER ST STE 260
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-4950
Mailing Address - Country:US
Mailing Address - Phone:971-213-5025
Mailing Address - Fax:971-228-5431
Practice Address - Street 1:609 NE BAKER ST STE 260
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4950
Practice Address - Country:US
Practice Address - Phone:971-213-5025
Practice Address - Fax:971-228-5431
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ORC4493101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health