Individual
MS. JESSICA DAWN CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(314) 968-2060
(314) 986-8308
Mailing address
555 N LACLEDE STATION RD, WEBSTER GROVES, MO 63119-2048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2010006660
MO
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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