SearchMissouri1041C0700X

Corey Crutchfield, LCSW

NPI 1205258944 · on the registry since 2014 · sole proprietor

Practice

Address
1500 N Westwood Blvd
Poplar Bluff, MO 63901
Phone
(573) 778-4152
Fax
(573) 778-4154
Organisation at this address
St. Louis Jc Vamc
St. Louis Jc Vamc
John J. Pershing Vamc
Department Of Veterans Affairs
John J Pershing Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
194

Additional practice sites

  • 106 Eagle Rdg, Poplar Bluff, MO

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri