| Mrs Mary Emma Crenshaw, LISW,LICDC | |
|
5050 Som Center Rd Apt 323-2, Willoughby, OH 44094-4278 | |
| (216) 773-2503 | |
| Not Available |
| Full Name | Mrs Mary Emma Crenshaw |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5050 Som Center Rd Apt 323-2, Willoughby, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982971263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 976149 (Ohio) | Primary |
| 106H00000X | Marriage & Family Therapist | 0600066 (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Emma Crenshaw, LISW,LICDC 5504 State Rd, Parma, OH 44134-2250 Ph: (216) 773-2503 | Mrs Mary Emma Crenshaw, LISW,LICDC 5050 Som Center Rd Apt 323-2, Willoughby, OH 44094-4278 Ph: (216) 773-2503 |
Tatiana Dwyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Niels William Nielsen, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 38879 Mentor Ave, Suite C, Willoughby, OH 44094 Phone: 440-953-9999 Fax: 440-918-3839 | |
Shelly L. Beal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Jennifer Elizabeth Vittek, Counselor Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Dana Elizabeth Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Melissa Louise Kahl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Adam Taylor Dawson, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |