MEDICARE: LAURA A SCOTT CRUSING LCPC,CADC,MISAII

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	180-002806	IL
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	16713	IL

General Provider Information

NPI Number	:	1902918683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA A SCOTT CRUSING LCPC,CADC,MISAII

Provider Business Mailing Address
First Line	:	20635 ABBEY WOODS CT N
Second Line	:	STE 209
City	:	FRANKFORT
State	:	IL
Zip	:	60423-3181
Country	:	US
Telephone Number	:	708-528-7953
Fax Number	:

Provider Business Practice Location Address
First Line	:	20635 ABBEY WOODS CT N
Second Line	:	STE 209
City	:	FRANKFORT
State	:	IL
Zip	:	60423-3181
Country	:	US
Telephone Number	:	708-528-7953
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/26/2026

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