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Individual

KELVIN CROWDER

Active
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Individual

KELVIN CROWDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
NULL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—

Other

Enumeration date
01/31/2025
Last updated
09/25/2026
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