Provider Demographics
NPI:1598834665
Name:CREWS, SUSAN A (MS, LPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:A
Last Name:CREWS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1005
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1005
Mailing Address - Country:US
Mailing Address - Phone:828-687-9046
Mailing Address - Fax:828-687-1772
Practice Address - Street 1:855 HOWARD GAP RD.
Practice Address - Street 2:CAROLINA HILLS CENTER
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732
Practice Address - Country:US
Practice Address - Phone:828-687-9046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3473101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional