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NPI Code Detail

MEDICARE: CRYSTAL M CRUMLEY M.S.

MEDICARE: CRYSTAL M CRUMLEY M.S.
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 Counselor

General Provider Information

NPI Number : 1235352360
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL M CRUMLEY M.S.
Provider Business Mailing Address
First Line : 4160 OCOEE ST N STE 8
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4886
Country : US
Telephone Number : 888-291-4357
Fax Number :
Provider Business Practice Location Address
First Line : 4160 OCOEE ST N STE 8
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-4886
Country : US
Telephone Number : 888-291-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 01/22/2024

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Directions to “ CRYSTAL M CRUMLEY M.S.” Practice Location

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