Provider Demographics
NPI:1669369567
Name:CRAWFORD, GIOVANNI JR
Entity type:Individual
Prefix:
First Name:GIOVANNI
Middle Name:
Last Name:CRAWFORD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 COLERAIN AVE STE C
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-4570
Mailing Address - Country:US
Mailing Address - Phone:917-238-5726
Mailing Address - Fax:
Practice Address - Street 1:7625 COLERAIN AVE STE C
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-4570
Practice Address - Country:US
Practice Address - Phone:917-238-5726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor