Provider Demographics
NPI:1679290472
Name:CRUMPLER, KATHY MICHELE (LPC-ASSOCIATE)
Entity type:Individual
Prefix:MS
First Name:KATHY
Middle Name:MICHELE
Last Name:CRUMPLER
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4326 LEELAND ST APT 1
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-3018
Mailing Address - Country:US
Mailing Address - Phone:832-267-7138
Mailing Address - Fax:
Practice Address - Street 1:4326 LEELAND ST APT 1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-3018
Practice Address - Country:US
Practice Address - Phone:832-267-7138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85770101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health