Provider Demographics
NPI:1750916342
Name:MCCRUMMEN, MARGARET ANN (LPC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:MCCRUMMEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 794103
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75379-4103
Mailing Address - Country:US
Mailing Address - Phone:972-385-9004
Mailing Address - Fax:
Practice Address - Street 1:1735 KELLER SPRINGS RD STE 202
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-3006
Practice Address - Country:US
Practice Address - Phone:214-230-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75511101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional