Provider Demographics
NPI:1972129435
Name:SCHNURMAN-CROOK, ABRINA MARIE
Entity Type:Individual
Prefix:
First Name:ABRINA
Middle Name:MARIE
Last Name:SCHNURMAN-CROOK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 MAIDEN LN SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-2310
Mailing Address - Country:US
Mailing Address - Phone:540-520-4501
Mailing Address - Fax:
Practice Address - Street 1:2022 MAIDEN LN SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-2310
Practice Address - Country:US
Practice Address - Phone:540-520-4501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-21
Last Update Date:2020-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional