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General NPI Number Information
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NPI Number | 1609505783
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Entity Type | Individual
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Provider Name | CRYSTAL ILENE CRIM LPC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1 PERIMETER PARK S STE 100N
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City | BIRMINGHAM
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State | AL
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Zip | 35243-3248
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Country | US
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Telephone | 205-690-3851
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Fax |
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Provider Business Mailing Address
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Address Line | 201 VILLAGE DR
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City | CALERA
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State | AL
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Zip | 35040-5201
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Country | US
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Telephone | 205-572-7390
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CP5596-R
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 025014696
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC04965
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License Number State | AL
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