Individual
EDWARD R CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICDC
Contact information
Practice address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(937) 342-4379
Mailing address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(937) 342-4379
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
131007
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370792
—
OH
Enumeration date
11/29/2012
Last updated
08/08/2021
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