Provider Demographics
NPI:1639535958
Name:CROWSON, CAROL R (EDD, S-LPC)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:R
Last Name:CROWSON
Suffix:
Gender:F
Credentials:EDD, S-LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2233 WESTMEAD DR SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-1036
Mailing Address - Country:US
Mailing Address - Phone:334-558-3499
Mailing Address - Fax:
Practice Address - Street 1:2233 WESTMEAD DR SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-1036
Practice Address - Country:US
Practice Address - Phone:334-558-3499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC 1519101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional