Individual provider · Type 1 NPI

John Palmer Crum, LCPC, LPC

Addiction (Substance Use Disorder) Counselor · Edwardsville, IL

NPI number 1245431022 Active

Practice location

95 N Research Dr Ste 110
Edwardsville, IL 62025-3604

Fax (314) 667-3108

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X180004715 (IL)
Mental Health Counselor 101YM0800X180004715 (IL)
Mental Health Counselor 101YM0800X2007012895 (MO)
Addiction (Substance Use Disorder) Counselor 101YA0400X2007012895 (MO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245431022

John Palmer Crum, LCPC, LPC's National Provider Identifier is 1245431022, issued on May 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Edwardsville, IL. The record was last updated on Sep 10, 2013.