Crystal Hammond-Morrow, ED. S., NCC, LPC
Individual provider Active NPI Counselor · Bertrand, MO
NPI 1104077122 · NPPES record last updated Oct 8, 2008
Key facts
- NPI
- 1104077122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 2007001743 (MO)
- Practice address
- 3301 W 404TH Rd
Bertrand, MO 63823-9182 - Phone
- (573) 380-4545
- NPI assigned
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007001743 | MO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solution Focused Counseling | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2007001743 | MO | Yes |
Addresses
Primary practice location
3301 W 404TH Rd
Bertrand, MO 63823-9182
Mailing address
3301 W 404TH Rd
Bertrand, MO 63823-9182
Phone (573) 380-4545
Other providers in Bertrand, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.