Doctor Name: | C DIANE CRUMBAKER |
NPI Number: | 1285794941 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 065 |
Business Practice Address: | 11111 Nall Ave Ste 103 Leawood, KS - 662111620 |
Business Phone Number: | 9134866963 |
Business Fax Number: | 9134690665 |
Mailing Address: | 11111 Nall Ave, Ste 103 LEAWOOD |
State: | KS |
Postal Code: | 662111620 |
Phone Number: | 9134866963 |
Fax Number: | 9134690665 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 065 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |