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Individual
BRIAN CROUSE
Active
Individual
BRIAN CROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3779
NE
101YM0800X
Mental Health Counselor
Primary
989
NE
101YP2500X
Professional Counselor
1880
NE
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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