Individual provider · Type 1 NPI
Ken Sharrod Crumpton, MA, MFT
Mental Health Counselor · Lawrenceville, GA
NPI number
1184767790
Active
Practice location
595 Old Norcross Rd, Bldg. B
Lawrenceville, GA 30045-3327
Mailing address
105 Ashtonbrook Dr
Mcdonough, GA 30252-6704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1184767790
Ken Sharrod Crumpton, MA, MFT's National Provider Identifier is 1184767790, issued on Feb 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 11, 2025.