Provider Demographics
NPI:1093461659
Name:CRUME, KATHRYN DANAE (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:DANAE
Last Name:CRUME
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 WESTWIND DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-7360
Mailing Address - Country:US
Mailing Address - Phone:720-815-5350
Mailing Address - Fax:
Practice Address - Street 1:2330 JUSTIN RD STE 200
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3087
Practice Address - Country:US
Practice Address - Phone:940-334-0814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0018024101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional