Provider Demographics
NPI:1619007143
Name:CROWDER, SARAH ANNE (MS, LCADC, LPC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANNE
Last Name:CROWDER
Suffix:
Gender:F
Credentials:MS, LCADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22277 ORCHARD CT
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-4140
Mailing Address - Country:US
Mailing Address - Phone:301-475-3126
Mailing Address - Fax:
Practice Address - Street 1:21641 GREAT MILLS RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-1239
Practice Address - Country:US
Practice Address - Phone:301-863-9333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA260101YA0400X
IL17802679101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional