Jacob Leroy Crawford

NPI #1720810658 in Warrenton, Oregon

Provider Information

NPI Number: 1720810658
Entity Type: Individual
Name: Jacob Leroy Crawford
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 19, 2024
Last Updated: Aug 19, 2024

Practice Location

Address: 65 N HIGHWAY 101
City: Warrenton
State: Oregon
ZIP Code: 97146-9371
Phone: (503) 325-5722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Peer Specialist	175T00000X	Primary

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