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John Palmer Crum, LCPC,LPC
Addiction (Substance Use Disorder) Counselor in Edwardsville, Illinois
NPI 1245431022

John Palmer Crum is an Addiction (Substance Use Disorder) Counselor based in Edwardsville, IL and is specialized in Addiction (Substance Use Disorder). John Palmer Crum practices in Edwardsville, IL and has the professional credentials of LCPC,LPC. The NPI Number for John Palmer Crum is 1245431022 and holds a License No. 180004715 (Illinois).

The current practice location address for John Palmer Crum is 95 N Research Dr Ste 110, Edwardsville, IL and can be reached out via phone at 618-692-6880 and via fax at 314-667-3108.

Location: 95 N Research Dr Ste 110, Edwardsville, IL, 62025-3604
person
Provider Profile Details
NPI Number
1245431022
Provider Name
John Palmer Crum
Credential
LCPC,LPC
Provider Entity Type
Individual
Gender
Male
Address
95 N Research Dr Ste 110, Edwardsville, IL, 62025-3604
Phone Number
618-692-6880
Fax Number
314-667-3108
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
262844611 01 IL STATE
262844611 01 IL IL
institution
Provider Business Practice Location Address Details
Address
95 N Research Dr Ste 110
City
State
Zip
62025-3604
Phone Number
618-692-6880
Fax Number
314-667-3108
person
Provider Business Mailing Address Details
Address
95 N Research Dr Ste 110
City
State
Zip
62025-3604
Phone Number
618-692-6880
Fax Number
314-667-3108
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
180004715 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180004715 (Illinois)
Definition
Definition to come...
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