Most Relevant Information
Provider Data
| NPI Number: | 1003829144 |
| Provider Name: | ESTHER LOUISE CRUM LPC MHSP LICENSED PR |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | LPC439 |
Most Important Dates
| Enumeration Date: | 08/13/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
401 HOLSTON DRIVE
NOLACHUCKEY HOLSTON AREA MENTAL HEALTH CENTER
GREENEVILLE
TN
37743
Practice Location Phone/Fax
| Phone: | 4236391104 |
| Fax: | 4236368365 |
Provider Mailing Location
PO BOX 9054
GRAY
TN
376159054
Provider Mailing Phone/Fax
| Phone: | 4234673600 |
| Fax: | 4234673696 |