Provider Demographics
NPI:1932548914
Name:CRABTREE, KRISTY DANIELLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:DANIELLE
Last Name:CRABTREE
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 1:4235 E LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-0729
Mailing Address - Country:US
Mailing Address - Phone:805-795-6477
Mailing Address - Fax:
Practice Address - Street 1:625 N GILBERT RD STE 204
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-4724
Practice Address - Country:US
Practice Address - Phone:805-795-6477
Practice Address - Fax:480-813-2987
Is Sole Proprietor?:No
Enumeration Date:2013-06-23
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-14256101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional