Provider Demographics
NPI:1952576902
Name:CRAWFORD, CHRISTINE ELLWOOD (LPC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ELLWOOD
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 E TREMONT AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5366
Mailing Address - Country:US
Mailing Address - Phone:704-342-1812
Mailing Address - Fax:704-342-1884
Practice Address - Street 1:212 E TREMONT AVE
Practice Address - Street 2:SUITE C
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5366
Practice Address - Country:US
Practice Address - Phone:704-342-1812
Practice Address - Fax:704-342-1884
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPC #277101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health