Individual provider · Type 1 NPI

Kevin Peter Crutcher

Mental Health Counselor · Bloomington, IL

NPI number 1013104173 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Call (309) 827-5351 Map

Fax (309) 829-6808

Mailing address

8 Blue Lake Ct
Bloomington, IL 61704-1220

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013104173

Kevin Peter Crutcher's National Provider Identifier is 1013104173, issued on Oct 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Oct 2, 2007.