Provider Demographics
NPI:1982942678
Name:CROWELL, JOANNA (LADC, LPC)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:CROWELL
Suffix:
Gender:F
Credentials:LADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 BOSTON POST RD STE 205
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06498-2171
Mailing Address - Country:US
Mailing Address - Phone:860-577-2252
Mailing Address - Fax:855-839-9232
Practice Address - Street 1:1921 BOSTON POST RD STE 205
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:CT
Practice Address - Zip Code:06498-2171
Practice Address - Country:US
Practice Address - Phone:860-577-2252
Practice Address - Fax:855-839-9232
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002221101YP2500X
CT1027101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)