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Individual
JESSICA M CRUNKLETON
Active
Individual
JESSICA M CRUNKLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.014386
IL
101YM0800X
Mental Health Counselor
2021028229
MO
101YM0800X
Mental Health Counselor
2021028230
MO
101YM0800X
Mental Health Counselor
35002024A
IN
101YM0800X
Mental Health Counselor
39003344A
IN
Other
Enumeration date
02/10/2022
Last updated
07/16/2022
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