Provider Demographics
NPI:1205579679
Name:CRAWLEY, POUCHER L (MHC)
Entity type:Individual
Prefix:
First Name:POUCHER
Middle Name:L
Last Name:CRAWLEY
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TOMPKINS ALTERNATIVE COUNSELING
Mailing Address - Street 2:318 N AURORA STREET
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850
Mailing Address - Country:US
Mailing Address - Phone:607-208-7723
Mailing Address - Fax:
Practice Address - Street 1:TOMPKINS ALTERNATIVE COUNSELING
Practice Address - Street 2:318 N AURORA STREET
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850
Practice Address - Country:US
Practice Address - Phone:607-208-7723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health