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Individual
JACOB CROWELL
Active
Individual
JACOB CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, RAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401013879
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401017091
MI
101YM0800X
Mental Health Counselor
6401013879
MI
101YM0800X
Mental Health Counselor
Primary
6401017091
MI
Other
Enumeration date
09/16/2013
Last updated
03/21/2019
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