Individual provider · Type 1 NPI
Nannell Crow, MS, LADC
Addiction (Substance Use Disorder) Counselor · Ada, OK
NPI number
1629194055
Active
Practice location
1400 Hoppe Blvd, Suite 3, Violence Prevention Services
Ada, OK 74820
Fax (580) 272-5554
Mailing address
210 E. Main, Resource Management
Ada, OK 74820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 339 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629194055
Nannell Crow, MS, LADC's National Provider Identifier is 1629194055, issued on Mar 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ada, OK. The record was last updated on Nov 17, 2016.