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NPI Code Detail

MEDICARE: CARRIER A. CRUTCHER LPC

MEDICARE: CARRIER A. CRUTCHER 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
1101YM0800XMental Health Counselor17312TX

General Provider Information

NPI Number : 1235182940
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIER A. CRUTCHER LPC
Provider Business Mailing Address
First Line : PO BOX 828
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-8144
Country : US
Telephone Number : 972-562-0190
Fax Number : 972-562-3647
Provider Business Practice Location Address
First Line : 3920 ALMA DR
Second Line :
City : PLANO
State : TX
Zip : 75023-6748
Country : US
Telephone Number : 972-422-5939
Fax Number : 972-424-2382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 07/08/2007

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Directions to “ CARRIER A. CRUTCHER LPC” Practice Location

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