Provider Demographics
NPI:1902918683
Name:SCOTT CRUSING, LAURA A (LCPC,CADC,MISAII)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:SCOTT CRUSING
Suffix:
Gender:F
Credentials:LCPC,CADC,MISAII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20635 ABBEY WOODS CT N
Mailing Address - Street 2:STE 209
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-3181
Mailing Address - Country:US
Mailing Address - Phone:708-528-7953
Mailing Address - Fax:
Practice Address - Street 1:20635 ABBEY WOODS CT N
Practice Address - Street 2:STE 209
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-3181
Practice Address - Country:US
Practice Address - Phone:708-528-7953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-002806101Y00000X
IL16713101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor