Crimp, Erica

Crimp, Erica is an sole proprietor health care provider with primary practice located at 833 Nw Buchanan Ave Suite 10, Corvallis OR 97330-6217. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Crimp, Erica can be contacted via phone (541) 602-6760.

Contact Information

Primary practice address
833 Nw Buchanan Ave Suite 10 Corvallis OR 97330-6217
Phone: (541) 602-6760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1003983479
LBN Legal business name Crimp, Erica
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Sep 16th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003983479 NPPES
Oregon MEDICAID 128715

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