Kevin Peter Crutcher

NPI #1013104173 in Bloomington, Illinois

Provider Information

NPI Number: 1013104173
Entity Type: Individual
Name: Kevin Peter Crutcher
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 2, 2007
Last Updated: Oct 2, 2007

Practice Location

Address: 108 W MARKET ST
City: Bloomington
State: Illinois
ZIP Code: 61701-3918
Phone: (309) 827-5351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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