Individual
MRS. ESTHER LOUISE CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC MHSP LICENSED PR
Contact information
Practice address
401 HOLSTON DRIVE, NOLACHUCKEY HOLSTON AREA MENTAL HEALTH CENTER, GREENEVILLE, TN 37743
(423) 639-1104
(423) 636-8365
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC439
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229106
CIGNA MCC
—
01
—
3085374
MAGELLAN NAVIGATOR
—
01
—
334969
VALUEOPTIONS
—
Enumeration date
08/13/2006
Last updated
07/08/2007
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