JACOB LEROY CRAWFORD

WARRENTON, OR
NPI1720810658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-08-19
Last Update Date2024-08-19
Business Address
JACOB LEROY CRAWFORD
65 N HIGHWAY 101
WARRENTON, OR 97146-9371
Phone number: 503-325-5722
Mailing Address
JACOB LEROY CRAWFORD
65 N HIGHWAY 101
WARRENTON, OR 97146-9371
Phone number: 503-325-5722
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