Provider Demographics
NPI:1356727952
Name:CRUM, ALICIA M (LPC)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:M
Last Name:CRUM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:M
Other - Last Name:CLAYBON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:382 LEAVELL CIR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-9003
Mailing Address - Country:US
Mailing Address - Phone:334-676-1883
Mailing Address - Fax:334-593-5501
Practice Address - Street 1:382 LEAVELL CIRCLE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-1541
Practice Address - Country:US
Practice Address - Phone:334-676-1883
Practice Address - Fax:334-593-5501
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-05
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3590101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional