Provider Demographics
NPI:1013109172
Name:CRUMRINE, RITA (MFT)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:
Last Name:CRUMRINE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 S SANTA FE AVE # 403
Mailing Address - Street 2:
Mailing Address - City:SAN JACINTO
Mailing Address - State:CA
Mailing Address - Zip Code:92583-5060
Mailing Address - Country:US
Mailing Address - Phone:951-654-2026
Mailing Address - Fax:
Practice Address - Street 1:1604 S SANTA FE AVE # 403
Practice Address - Street 2:
Practice Address - City:SAN JACINTO
Practice Address - State:CA
Practice Address - Zip Code:92583-5060
Practice Address - Country:US
Practice Address - Phone:951-654-2026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42251101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)