DOMINIQUE SUZANNE CRAWFORD
NPI 1982807665
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Martinez, CA

Q: What is Dominique Crawford's NPI number?

The NPI number for Dominique Crawford is 1982807665. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Q: What is Dominique Crawford's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Active since June 08, 2007

4645 PACHECO BLVD, MARTINEZ, CA 94553(925) 646-9270(925) 646-9276 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dominique Suzanne Crawford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE SUZANNE CRAWFORD (NPI 1982807665) is an individual substance abuse treatment, children provider in Martinez, California, licensed in California (070012BN) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1982807665

Entity TypeIndividualFemale

Primary Taxonomy3245S0500X

Provider Legal NameDOMINIQUE SUZANNE CRAWFORD

Location Address4645 PACHECO BLVDMartinez, CA 94553-3625

Mailing AddressPo Box 1109Martinez, CA 94553-0110 · (925) 646-9270 · Fax (925) 646-9276

Phone(925) 646-9270

Fax(925) 646-9276

Sole ProprietorYes

Enumeration DateJune 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1982807665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities

Taxonomy Code3245S0500X

License✔ Licensed in CA · 070012BN

Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

4645 PACHECO BLVD, Martinez, CA 94553

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CURTIS CHARLES JACKSON III R.A.S.

Counselor (Addiction (Substance Use Disorder))