Individual
MRS. ANDREA L CRUMRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
705 W AVENUE B STE 306, GARLAND, TX 75040-6240
(972) 571-4468
Mailing address
PO BOX 1714, ROCKWALL, TX 75087-1714
(972) 571-4468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144637902
—
TX
Enumeration date
08/09/2006
Last updated
11/30/2011
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