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NPI Code Detail

MEDICARE: DEONNA CRABTREE MA, LPC

MEDICARE:   DEONNA  CRABTREE  MA, LPC
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
1101YP2500XProfessional Counselor2014007454MO

General Provider Information

NPI Number : 1174906820
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEONNA CRABTREE MA, LPC
Provider Business Mailing Address
First Line : 1300 E BRADFORD PKWY
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-4264
Country : US
Telephone Number : 417-761-5000
Fax Number :
Provider Business Practice Location Address
First Line : 3401 BERRYWOOD DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-8372
Country : US
Telephone Number : 573-777-8330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2015
Last Update Date : 02/04/2026

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Directions to “ DEONNA CRABTREE MA, LPC” Practice Location

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