Provider Demographics
NPI:1437327202
Name:CRIVELLONE, MARY FRANCES (MS)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:FRANCES
Last Name:CRIVELLONE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:799 W MILLS ST
Mailing Address - Street 2:A
Mailing Address - City:COLUMBUS
Mailing Address - State:NC
Mailing Address - Zip Code:28722-8644
Mailing Address - Country:US
Mailing Address - Phone:828-894-0293
Mailing Address - Fax:
Practice Address - Street 1:799 W MILLS ST
Practice Address - Street 2:A
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-8644
Practice Address - Country:US
Practice Address - Phone:828-894-0293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)