Individual
EBONY CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3127 33RD AVE S, MINNEAPOLIS, MN 55406-2022
(312) 647-9314
Mailing address
3127 33RD AVE S, MINNEAPOLIS, MN 55406-2022
(312) 647-9314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
149.024156
IL
101YM0800X
Mental Health Counselor
Primary
33018
MN
Other
Enumeration date
01/20/2022
Last updated
07/30/2025
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