Individual
JACOB C CROUCH, III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
7448 CULVER LANE, NEW PORT RICHEY, FL 34655-3433
(727) 858-9183
Mailing address
7448 CULVER LANE, NEW PORT RICHEY, FL 34655-3433
(727) 858-9183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH3311
FL
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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