Individual
AGATA CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., M.A.
Contact information
Practice address
5808 BALCONES DR, SUITE #201, AUSTIN, TX 78731-4255
(512) 537-4560
Mailing address
3445 EXECUTIVE CENTER DR, STE. 212, AUSTIN, TX 78731-1680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
76923
TX
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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