Organization
CRUMBLEY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANICKELETTE O CRUMBLEY LPC (OWNER)
(866) 273-6041
Entity
Organization
Contact information
Practice address
154 E RAILROAD ST SE, PELHAM, GA 31779-2235
(866) 273-6041
Mailing address
725 WINSTON DR, LAWRENCEVILLE, GA 30044-5788
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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