Individual provider · Type 1 NPI
James Crawford, ICS
Addiction (Substance Use Disorder) Counselor · Madison, WI
NPI number
1700129376
Active
Practice location
4222 Milwaukee St Ste 2
Madison, WI 53714-3534
Fax (608) 467-9135
Mailing address
1213 N Sherman Ave # 323
Madison, WI 53704-4236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14524-132 (WI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15371-135 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1700129376
James Crawford, ICS's National Provider Identifier is 1700129376, issued on Apr 2, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Apr 2, 2013.