Provider Demographics
NPI:1831522499
Name:KRUMM, FERNANDA CUTRONE (LCPC)
Entity type:Individual
Prefix:
First Name:FERNANDA
Middle Name:CUTRONE
Last Name:KRUMM
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 REVERE DRIVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1576
Mailing Address - Country:US
Mailing Address - Phone:414-751-0086
Mailing Address - Fax:224-803-2558
Practice Address - Street 1:60 REVERE DR STE 400
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1576
Practice Address - Country:US
Practice Address - Phone:224-306-1879
Practice Address - Fax:224-803-2558
Is Sole Proprietor?:No
Enumeration Date:2013-08-17
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009339101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health