Susan L Crider
Counselor in Elizabethtown, KY. Individual provider (NPI-1).
NPI number1043553076
StatusActive
Last updated in NPPESMar 28, 2013
Details
- NPI
- 1043553076
- Entity type
- Individual (NPI-1)
- Name
- Susan L Crider
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2013
- Last updated
- Mar 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1311 N Dixie HwyElizabethtown, KY 42701-2621
Phone 270-769-1304 · Fax 270-234-8028
Mailing address
107 Cranes Roost CtElizabethtown, KY 42701-3650
Phone 270-765-2605 · Fax 270-234-8572
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