Provider Demographics
NPI:1710756846
Name:CRAWFORD, TONIE LYNN (LPC, RPT)
Entity Type:Individual
Prefix:
First Name:TONIE
Middle Name:LYNN
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 HICKORY AVE
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:TX
Mailing Address - Zip Code:79029-3013
Mailing Address - Country:US
Mailing Address - Phone:806-318-8276
Mailing Address - Fax:
Practice Address - Street 1:501 HICKORY AVE
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:TX
Practice Address - Zip Code:79029-3013
Practice Address - Country:US
Practice Address - Phone:806-318-8276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71586101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional