Provider Demographics
NPI:1205231503
Name:KRUMRINE, RICHARD MARTIN (LPC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:MARTIN
Last Name:KRUMRINE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48362-3272
Mailing Address - Country:US
Mailing Address - Phone:248-736-6822
Mailing Address - Fax:248-605-8599
Practice Address - Street 1:336 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48362-3272
Practice Address - Country:US
Practice Address - Phone:248-736-6822
Practice Address - Fax:248-605-8599
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010944101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor