Korey Crum, LPC
Counselor, Professional in Cape Girardeau, MO. Individual provider (NPI-1).
NPI number1003396540
StatusActive
Last updated in NPPESJan 21, 2022
Details
- NPI
- 1003396540
- Entity type
- Individual (NPI-1)
- Name
- Korey Crum
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2018
- Certification date
- Jan 21, 2022
- Last updated
- Jan 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
20 S Sprigg StCape Girardeau, MO 63703-6212
Phone 573-651-4177
Mailing address
20 S Sprigg StCape Girardeau, MO 63703-6212
Phone 573-651-4177
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