Provider Demographics
NPI:1831522499
Name:KRUMM, FERNANDA CUTRONE (LCPC)
Entity type:Individual
Prefix:
First Name:FERNANDA
Middle Name:CUTRONE
Last Name:KRUMM
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26148 CAPITAL DR STE G
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-9123
Mailing Address - Country:US
Mailing Address - Phone:251-207-1632
Mailing Address - Fax:205-994-6013
Practice Address - Street 1:26148 CAPITAL DR STE G
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-9123
Practice Address - Country:US
Practice Address - Phone:205-705-0195
Practice Address - Fax:205-994-6013
Is Sole Proprietor?:No
Enumeration Date:2013-08-17
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009339101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health