Healthcare Provider Details

I. General information

NPI: 1831522499
Provider Name (Legal Business Name): FERNANDA CUTRONE KRUMM LPC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2013
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 SUMMER OAKS DR
DAPHNE AL
36526-4808
US

IV. Provider business mailing address

33 SUMMER OAKS DR
DAPHNE AL
36526-4808
US

V. Phone/Fax

Practice location:
  • Phone: 773-389-4469
  • Fax:
Mailing address:
  • Phone: 773-389-4469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180009339
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27041
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05669
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: