Individual provider · Type 1 NPI
Ebony Crisp, LICSW
Mental Health Counselor · Minneapolis, MN
NPI number
1457003451
Active
Practice location
3127 33rd Ave S
Minneapolis, MN 55406-2022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 33018 (MN) |
| Mental Health Counselor | 101YM0800X | 149.024156 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1457003451
Ebony Crisp, LICSW's National Provider Identifier is 1457003451, issued on Jan 20, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 30, 2025.