Provider Demographics
NPI:1487491841
Name:CRAWFORD, ERIN LYNN (QMHP-A)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:QMHP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44092 GALA CIR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-3341
Mailing Address - Country:US
Mailing Address - Phone:703-401-6068
Mailing Address - Fax:
Practice Address - Street 1:44092 GALA CIR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-3341
Practice Address - Country:US
Practice Address - Phone:703-401-6068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker