Individual
MRS. ERICA CRIMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
833 NW BUCHANAN AVE, SUITE 10, CORVALLIS, OR 97330-6217
(541) 602-6760
Mailing address
38934 MARYS RIVER RD, BLODGETT, OR 97326-9422
(541) 456-2201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128715
—
OR
Enumeration date
11/29/2006
Last updated
09/16/2016
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