Individual
MS. KIMBERLY CRUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5445 N SHERIDAN RD APT 1215, CHICAGO, IL 60640-7460
(615) 403-9820
Mailing address
5445 N SHERIDAN RD APT 1215, CHICAGO, IL 60640-7460
(615) 403-9820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.010556
IL
101YP1600X
Pastoral Counselor
Primary
180.010556
IL
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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