Healthcare Provider Details

I. General information

NPI: 1104573849
Provider Name (Legal Business Name): DEONDRA J CRIPPEN MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7460 WARREN PKWY STE 100
FRISCO TX
75034-4170
US

IV. Provider business mailing address

7460 WARREN PKWY STE 100
FRISCO TX
75034-4170
US

V. Phone/Fax

Practice location:
  • Phone: 726-208-3300
  • Fax: 726-215-3955
Mailing address:
  • Phone: 726-208-3300
  • Fax: 726-215-3955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number78893
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: