MARQUITA CRUDUP LPC NPI 1578109740

NPI Information

NPI: 1578109740
Provider Name: MARQUITA CRUDUP, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1489 MERCHANT DR
ALGONQUIN, IL
ZIP 60102
Phone: (815) 444-9700
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Marquita Crudup, LPC is a mental health counselor in Algonquin, IL. Marquita Crudup, LPC NPI is 1578109740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1489 MERCHANT DR
ALGONQUIN, IL
ZIP 60102-917
Phone: (815) 444-9700
Fax: (224) 304-4664

The enumeration date for this NPI number is 11/22/2019 and was last updated on 11/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	178.014824	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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