Provider Demographics
NPI:1336406222
Name:CRABTREE-RUNDE, DEBRA LYNNE
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:LYNNE
Last Name:CRABTREE-RUNDE
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 1:399 MAIN STREET NESLER CENTRE
Mailing Address - Street 2:SUITE 370
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6825
Mailing Address - Country:US
Mailing Address - Phone:563-583-3403
Mailing Address - Fax:563-583-5666
Practice Address - Street 1:399 MAIN STREET NESLER CENTRE
Practice Address - Street 2:SUITE 370
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6825
Practice Address - Country:US
Practice Address - Phone:563-583-3403
Practice Address - Fax:563-583-5666
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)