John Palmer Crum in Edwardsville - Addiction (substance Use Disorder)
John Palmer Crum - NPI 1245431022
John Palmer Crum is a Addiction (substance Use Disorder) in Edwardsville, Illinois. John Palmer Crum practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Palmer Crum is 1245431022. The last update date is 2013-09-10.
John Palmer Crum's current location address is 95 N Research Dr Ste 110, Edwardsville, Illinois. You can contact this provider via phone number 6186926880 and fax number 3146673108. The mailing address for John Palmer Crum is 95 N Research Dr Ste 110, Edwardsville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Palmer Crum |
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Address | 95 N Research Dr Ste 110, Edwardsville, Illinois |
Phone Number | 6186926880 |
Fax Number | 3146673108 |
Sole Proprietor | N |
Credentials | LCPC, LPC |
NPI Number Detail
NPI Number | 1245431022 |
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Provider Enumeration Date | 2007-05-30 |
Last Updated Date | 2013-09-10 |
Provider Mailing Address Detail
Address | 95 N Research Dr Ste 110 |
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City | Edwardsville |
State | Illinois (IL) |
Post Code | 620253604 |
Phone Number | 6186926880 |
Fax Number | 3146673108 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 180004715 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
262844611 | IL | STATE | |
262844611 | IL | IL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John Palmer Crum by the Centers for Medicare & Medicaid Services?
The John Palmer Crum has been issued the NPI (National Provider Identifier) 1245431022, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where John Palmer Crum's facilities are situated?
The facilities of John Palmer Crum are physically located at the following address: 95 N Research Dr Ste 110, Edwardsville, IL, 620253604.
What is the John Palmer Crum's area of specialization and corresponding taxonomy classification?
The John Palmer Crum's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1245431022 to John Palmer Crum?
The John Palmer Crum received its 1245431022 assignment from the Centers for Medicare & Medicaid Services on 2007-05-30.
As of what date were the details pertaining to John Palmer Crum last refreshed?
The information related to the John Palmer Crum, including its address, specialty, and other relevant details, was last updated on 2013-09-10.
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