Individual
MS. ELAINE SHARON CRUMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.A., L.P.C.
Contact information
Practice address
1706 DAVIE AVE, SUITE D, STATESVILLE, NC 28677-3589
(704) 880-2384
(704) 873-7789
Mailing address
1706 DAVIE AVE, SUITE D, STATESVILLE, NC 28677-3589
(704) 880-2384
(704) 873-7789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3287
NC
103TC0700X
Clinical Psychologist
Primary
1443
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11856
BC/BS
NC
Enumeration date
08/24/2006
Last updated
11/14/2013
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